ODEVIXIBAT 200MCG CAP,ORAL (31352)    VA PRODUCT (50.68)

Name Value
NAME ODEVIXIBAT 200MCG CAP,ORAL
VA GENERIC NAME ODEVIXIBAT
DOSAGE FORM CAP,ORAL
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 200
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MCG
NATIONAL FORMULARY NAME ODEVIXIBAT CAP,ORAL
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2021-08-05 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME ODEVIXIBAT 200MCG CAP
VA PRODUCT IDENTIFIER O0428
TRANSMIT TO CMOP YES
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4040728
EFFECTIVE DATE/TIME
  • 2021-08-05 00:00:00
    STATUS:   ACTIVE
  • 2021-08-05 00:00:00
    STATUS:   ACTIVE