| NAME |
RILUZOLE 50MG FILM,ORAL |
| VA GENERIC NAME |
RILUZOLE |
| DOSAGE FORM |
FILM,ORAL |
| HAZARDOUS TO DISPOSE |
NO |
| FORMULARY DESIGNATOR TEXT |
|
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
50 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| UNITS |
MG |
| NATIONAL FORMULARY NAME |
RILUZOLE FILM,ORAL |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2021-05-20 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
RILUZOLE 50MG ORAL FILM |
| VA PRODUCT IDENTIFIER |
R0424 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4040480 |
| EFFECTIVE DATE/TIME |
-
- 2021-05-20 00:00:00
- STATUS: ACTIVE
-
- 2021-05-20 00:00:00
- STATUS: ACTIVE
-
- 2021-05-20 00:00:00
- STATUS: ACTIVE
|
