CLORAZEPATE DIPOTASSIUM 15MG CAP (5563)    VA PRODUCT (50.68)

Name Value
NAME CLORAZEPATE DIPOTASSIUM 15MG CAP
VA GENERIC NAME CLORAZEPATE
DOSAGE FORM CAP,ORAL
FDA MED GUIDE Clorazepate_(Generic)_(2019).pdf
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Schedule IV
STRENGTH 15
INACTIVATION DATE 2002-09-05 00:00:00
UNITS MG
DSS NUMBER 5
NATIONAL FORMULARY NAME CLORAZEPATE 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 CLORAZEPATE DIPOTASSIUM 15MG CAP
VA PRODUCT IDENTIFIER C0894
TRANSMIT TO CMOP YES
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4006090
EFFECTIVE DATE/TIME
  • 2002-09-05 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE