OLANZAPINE 5MG/SAMIDORPHAN 10MG TAB (31444)    VA PRODUCT (50.68)

Name Value
NAME OLANZAPINE 5MG/SAMIDORPHAN 10MG TAB
VA GENERIC NAME File: 50.6, IEN: 5594
DOSAGE FORM TAB
FDA MED GUIDE Olanzapine_Samidorphan_(Lybalvi)_(2021).pdf
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
  • OLANZAPINE
    STRENGTH:   5
    UNITS:   MG
  • File: 50.416, IEN: 5476
    STRENGTH:   10
    UNITS:   MG
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
NATIONAL FORMULARY NAME OLANZAPINE/SAMIDORPHAN TAB
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE 1x Possible Dosage
PACKAGE Both Inpatient and Outpatient
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2021-09-30 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME OLANZAPINE 5MG/SAMIDORPHAN 10MG TAB
VA PRODUCT IDENTIFIER O0432
TRANSMIT TO CMOP NO
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4040831
EFFECTIVE DATE/TIME
  • 2021-09-30 00:00:00
    STATUS:   ACTIVE