| NAME |
OMEPRAZOLE 2MG/ML/SODIUM BICARBONATE 84MGI/ML SUSP,ORAL |
| VA GENERIC NAME |
OMEPRAZOLE/SODIUM BICARBONATE |
| DOSAGE FORM |
SUSP,ORAL |
| FDA MED GUIDE |
Omeprazole_Na_Bicarb_Recon_Pwd_(Konvomep)_(2022).pdf |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| NATIONAL FORMULARY NAME |
OMEPRAZOLE/SODIUM BICARBONATE SUSP,ORAL |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2023-03-09 00:00:00
|
| PGX ELIGIBLE |
YES |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
OMEPRAZOLE 2/NA BICARB 84MG/ML ORAL SUSP |
| VA PRODUCT IDENTIFIER |
O0448 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
ML |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4042084 |
| EFFECTIVE DATE/TIME |
-
- 2023-03-09 00:00:00
- STATUS: ACTIVE
|
