| NAME |
TOPIRAMATE 25MG/5ML SOLN,ORAL |
| VA GENERIC NAME |
TOPIRAMATE |
| DOSAGE FORM |
SOLN,ORAL |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
25 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| INACTIVATION DATE |
2022-01-10 00:00:00 |
| UNITS |
MG/5ML |
| NATIONAL FORMULARY NAME |
TOPIRAMATE SOLN,ORAL |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2021-11-18 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
TOPIRAMATE 25MG/5ML ORAL SOLN |
| VA PRODUCT IDENTIFIER |
T1094 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
ML |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4040963 |
| EFFECTIVE DATE/TIME |
-
- 2021-11-18 00:00:00
- STATUS: ACTIVE
-
- 2022-01-10 00:00:00
- STATUS: INACTIVE
|
