VILOXAZINE HCL 150MG CAP,SPRINKLE,SA (31140)    VA PRODUCT (50.68)

Name Value
NAME VILOXAZINE HCL 150MG CAP,SPRINKLE,SA
VA GENERIC NAME VILOXAZINE
DOSAGE FORM CAP,SPRINKLE,SA
FDA MED GUIDE Viloxazine_SA_(Qelbree)_(2022).pdf
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 150
SINGLE/MULTI SOURCE PRODUCT Single source
UNITS MG
NATIONAL FORMULARY NAME VILOXAZINE CAP,SPRINKLE,SA
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2021-05-26 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME VILOXAZINE HCL 150MG SPRINKLE CAP SA
VA PRODUCT IDENTIFIER V0331
TRANSMIT TO CMOP NO
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4040493
EFFECTIVE DATE/TIME
  • 2021-05-26 00:00:00
    STATUS:   ACTIVE
  • 2021-05-26 00:00:00
    STATUS:   ACTIVE
  • 2021-05-26 00:00:00
    STATUS:   ACTIVE