DESIPRAMINE HCL 25MG CAP (5088)    VA PRODUCT (50.68)

Name Value
NAME DESIPRAMINE HCL 25MG CAP
VA GENERIC NAME DESIPRAMINE
DOSAGE FORM CAP,ORAL
FDA MED GUIDE Despiramine_(Generic)_(2016).pdf
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 25
INACTIVATION DATE 2002-05-24 00:00:00
UNITS MG
DSS NUMBER 7
NATIONAL FORMULARY NAME DESIPRAMINE 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 DESIPRAMINE HCL 25MG CAP
VA PRODUCT IDENTIFIER D0018
TRANSMIT TO CMOP YES
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4005629
EFFECTIVE DATE/TIME
  • 2002-05-24 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE