| NAME |
AMPHETAMINE 2.5MG/ML SUSP,SA |
| VA GENERIC NAME |
AMPHETAMINE |
| DOSAGE FORM |
SUSP,SA |
| 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 |
2.5 |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| UNITS |
MG/ML |
| NATIONAL FORMULARY NAME |
AMPHETAMINE SUSP,SA |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2022-07-21 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
AMPHETAMINE 2.5MG/ML SA SUSP |
| VA PRODUCT IDENTIFIER |
A2133 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
ML |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4041595 |
| EFFECTIVE DATE/TIME |
-
- 2022-07-21 00:00:00
- STATUS: ACTIVE
|
