DEXMETHYLPHENIDATE 5.2/SERDEXMETHYLPHEN 26.1MG CAP (31293) VA PRODUCT (50.68)

Name	Value
NAME	DEXMETHYLPHENIDATE 5.2/SERDEXMETHYLPHEN 26.1MG CAP
VA GENERIC NAME	DEXMETHYLPHENIDATE/SERDEXMETHYLPHENIDATE
DOSAGE FORM	CAP,ORAL
FDA MED GUIDE	Dexmethylphenidate_Serdexmethylphenidate_(Azstarys)_(2021).pdf
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	DEXMETHYLPHENIDATE STRENGTH: 5.2 UNITS: MG SERDEXMETHYLPHENIDATE STRENGTH: 26.1 UNITS: MG
CS FEDERAL SCHEDULE	Schedule II Non-Narcotics
SINGLE/MULTI SOURCE PRODUCT	Multisource
UNITS	MG
NATIONAL FORMULARY NAME	DEXMETHYLPHENIDATE/SERDEXMETHYLPHENIDATE CAP,ORAL
CREATE DEFAULT POSSIBLE DOSAGE	NO
POSSIBLE DOSAGES TO CREATE	No Possible Dosages
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 3 COPAY EFFECTIVE DATE: 2021-07-15 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	DEXMETHYLPHEN 5.2/SERDEXMETHYLPH 26.1MG
VA PRODUCT IDENTIFIER	D1264
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4040663
EFFECTIVE DATE/TIME	2021-07-15 00:00:00 STATUS: ACTIVE 2021-07-15 00:00:00 STATUS: ACTIVE 2021-07-15 00:00:00 STATUS: ACTIVE