| NAME |
DEUTETRABENAZINE 12MG TAB,SA,24HR (EXTENDED RELEASE) |
| VA GENERIC NAME |
DEUTETRABENAZINE |
| DOSAGE FORM |
TAB,SA,24HR (EXTENDED RELEASE) |
| FDA MED GUIDE |
Deutetrabenazine_(Austedo-Austedo_XR)_(2023).pdf |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
12 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| UNITS |
MG |
| NATIONAL FORMULARY NAME |
DEUTETRABENAZINE TAB,SA,24HR (EXTENDED RELEASE) |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2023-04-27 00:00:00
|
| PGX ELIGIBLE |
YES |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
DEUTETRABENAZINE 12MG SA TAB |
| VA PRODUCT IDENTIFIER |
D1321 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
TAB |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4042197 |
| EFFECTIVE DATE/TIME |
-
- 2023-04-27 00:00:00
- STATUS: ACTIVE
|
