| NAME |
DEUTETRABENAZINE 12MG 4-WEEK TITRATION KIT |
| VA GENERIC NAME |
DEUTETRABENAZINE |
| DOSAGE FORM |
TAB |
| FDA MED GUIDE |
Deutetrabenazine_(Austedo-Austedo_XR)_(2023).pdf |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| NATIONAL FORMULARY NAME |
DEUTETRABENAZINE TAB |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2022-07-07 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
DEUTETRABENAZINE 12MG 4-WEEK TITRATE KIT |
| VA PRODUCT IDENTIFIER |
D1290 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
KIT |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4041562 |
| EFFECTIVE DATE/TIME |
-
- 2022-07-07 00:00:00
- STATUS: ACTIVE
|
