CLORAZEPATE DIPOTASSIUM 15MG TABLET (5567)    VA PRODUCT (50.68)

Name Value
NAME CLORAZEPATE DIPOTASSIUM 15MG TABLET
VA GENERIC NAME CLORAZEPATE
DOSAGE FORM TAB
FDA MED GUIDE Clorazepate_(Generic)_(2022).pdf
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Schedule IV
STRENGTH 15
INACTIVATION DATE 1999-06-15 00:00:00
UNITS MG
DSS NUMBER 9
NATIONAL FORMULARY NAME CLORAZEPATE 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 CLORAZEPATE DIPOTASSIUM 15MG TAB
VA PRODUCT IDENTIFIER C0709
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4006094
EFFECTIVE DATE/TIME
  • 1999-06-15 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE