METHYLPHENIDATE HCL 20MG TAB,SA (3506)    VA PRODUCT (50.68)

Name Value
NAME METHYLPHENIDATE HCL 20MG TAB,SA
VA GENERIC NAME METHYLPHENIDATE
DOSAGE FORM TAB,SA
FDA MED GUIDE Methylphenidate_SA_Tab_(Generic)_(2021).pdf
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Schedule II Non-Narcotics
STRENGTH 20
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2016-07-06 00:00:00
UNITS MG
DSS NUMBER 4
NATIONAL FORMULARY NAME METHYLPHENIDATE TAB,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
VA PRINT NAME METHYLPHENIDATE HCL 20MG SA TAB
VA PRODUCT IDENTIFIER M0443
TRANSMIT TO CMOP NO
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4004069
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE