TRIPELENNAMINE HCL 50MG TAB (4052)    VA PRODUCT (50.68)

Name Value
NAME TRIPELENNAMINE HCL 50MG TAB
VA GENERIC NAME TRIPELENNAMINE
DOSAGE FORM TAB
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 50
INACTIVATION DATE 2002-09-25 00:00:00
UNITS MG
DSS NUMBER 3
NATIONAL FORMULARY NAME TRIPELENNAMINE TAB
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 TRIPELENNAMINE HCL 50MG TAB
VA PRODUCT IDENTIFIER T0126
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4004605
EFFECTIVE DATE/TIME
  • 2002-09-25 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE