| NAME |
AMPHETAMINE SO4 5MG TAB,SA (EXTENDED RELEASE) |
| VA GENERIC NAME |
AMPHETAMINE |
| DOSAGE FORM |
TAB,SA (EXTENDED RELEASE) |
| FDA MED GUIDE |
Amphetamine_SA_Tab-SA_Susp_(Dyanavel_XR)_(2022).pdf |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Schedule II Non-Narcotics |
| STRENGTH |
5 |
| UNITS |
MG |
| NATIONAL FORMULARY NAME |
AMPHETAMINE TAB,SA (EXTENDED RELEASE) |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2022-07-21 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
AMPHETAMINE SULFATE 5MG SA (EXTEND REL) |
| VA PRODUCT IDENTIFIER |
A2129 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
TAB |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4041591 |
| EFFECTIVE DATE/TIME |
-
- 2022-07-21 00:00:00
- STATUS: ACTIVE
|
