CENOBAMATE 150MG X 28/100MG X 28 MAINTENANCE PACK,56 (31111)    VA PRODUCT (50.68)

Name Value
NAME CENOBAMATE 150MG X 28/100MG X 28 MAINTENANCE PACK,56
VA GENERIC NAME CENOBAMATE
DOSAGE FORM TAB
FDA MED GUIDE Cenobamate_(Xcopri)_(2020).pdf
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Schedule V
SINGLE/MULTI SOURCE PRODUCT Single source
NATIONAL FORMULARY NAME CENOBAMATE TAB
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2021-05-13 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME CENOBAMATE 150MGX28/100MGX28 PACK 56
VA PRODUCT IDENTIFIER C1995
TRANSMIT TO CMOP NO
VA DISPENSE UNIT PKT
MASTER ENTRY FOR VUID YES
VUID 4040463
EFFECTIVE DATE/TIME
  • 2021-05-13 00:00:00
    STATUS:   ACTIVE
  • 2021-05-13 00:00:00
    STATUS:   ACTIVE
  • 2021-05-13 00:00:00
    STATUS:   ACTIVE