PHENTERMINE HCL 30MG CAP,SA (3345)    VA PRODUCT (50.68)

Name Value
NAME PHENTERMINE HCL 30MG CAP,SA
VA GENERIC NAME PHENTERMINE
DOSAGE FORM CAP,SA
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Schedule IV
STRENGTH 30
INACTIVATION DATE 2007-09-27 00:00:00
UNITS MG
DSS NUMBER 4
NATIONAL FORMULARY NAME PHENTERMINE CAP,SA
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
TRANSMIT TO CMOP NO
MASTER ENTRY FOR VUID YES
VUID 4003915
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-27 00:00:00
    STATUS:   INACTIVE