ETHOTOIN 250MG TAB (5749)    VA PRODUCT (50.68)

Name Value
NAME ETHOTOIN 250MG TAB
VA GENERIC NAME ETHOTOIN
DOSAGE FORM TAB
FDA MED GUIDE Ethotoin_(Peganone)_(2010).pdf
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 250
SINGLE/MULTI SOURCE PRODUCT Single source
INACTIVATION DATE 2021-03-15 00:00:00
UNITS MG
DSS NUMBER 1
NATIONAL FORMULARY NAME ETHOTOIN 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:   2021-02-03 00:00:00
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2021-02-04 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME ETHOTOIN 250MG TAB
VA PRODUCT IDENTIFIER E0078
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4006274
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2021-03-15 00:00:00
    STATUS:   INACTIVE
  • 2021-03-15 00:00:00
    STATUS:   INACTIVE
  • 2021-03-15 00:00:00
    STATUS:   INACTIVE