OXYMETHOLONE 50MG TAB (4220)    VA PRODUCT (50.68)

Name Value
NAME OXYMETHOLONE 50MG TAB
VA GENERIC NAME OXYMETHOLONE
DOSAGE FORM TAB
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Schedule III Non-Narcotics
STRENGTH 50
SINGLE/MULTI SOURCE PRODUCT Single source
INACTIVATION DATE 2021-06-15 00:00:00
UNITS MG
DSS NUMBER 1
NATIONAL FORMULARY NAME OXYMETHOLONE TAB
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
    COPAY END DATE:   2021-05-19 00:00:00
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2021-05-20 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME OXYMETHOLONE 50MG TAB
VA PRODUCT IDENTIFIER O0293
TRANSMIT TO CMOP NO
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4004772
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2021-06-15 00:00:00
    STATUS:   INACTIVE
  • 2021-06-15 00:00:00
    STATUS:   INACTIVE
  • 2021-06-15 00:00:00
    STATUS:   INACTIVE