PHENTERMINE HCL 18.75MG CAP (3350)    VA PRODUCT (50.68)

Name Value
NAME PHENTERMINE HCL 18.75MG CAP
VA GENERIC NAME PHENTERMINE
DOSAGE FORM CAP,ORAL
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Schedule IV
STRENGTH 18.75
INACTIVATION DATE 2010-09-02 00:00:00
UNITS MG
DSS NUMBER 9
NATIONAL FORMULARY NAME PHENTERMINE CAP,ORAL
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
VA PRINT NAME PHENTERMINE HCL 18.75MG CAP
VA PRODUCT IDENTIFIER P0803
TRANSMIT TO CMOP NO
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4003920
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2010-09-02 00:00:00
    STATUS:   INACTIVE