| NAME |
DONEPEZIL HCL 5MG/DAY PATCH |
| VA GENERIC NAME |
DONEPEZIL |
| DOSAGE FORM |
PATCH |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
5 |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| UNITS |
MG/DAY |
| NATIONAL FORMULARY NAME |
DONEPEZIL PATCH |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2022-06-09 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
DONEPEZIL HCL 5MG/DAY PATCH |
| VA PRODUCT IDENTIFIER |
D1288 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
PATCH |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4041498 |
| EFFECTIVE DATE/TIME |
-
- 2022-06-09 00:00:00
- STATUS: ACTIVE
|
