AMPHETAMINE 2.5MG/DEXTROAMPHETAMINE 5MG CAP (6233) VA PRODUCT (50.68)

Name	Value
NAME	AMPHETAMINE 2.5MG/DEXTROAMPHETAMINE 5MG CAP
VA GENERIC NAME	AMPHETAMINE/DEXTROAMPHETAMINE
DOSAGE FORM	CAP,ORAL
FDA MED GUIDE	Amphetamine-Dextroamphetamine_(Generic)_(2015).pdf
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	AMPHETAMINE SULFATE STRENGTH: 2.5 UNITS: MG DEXTROAMPHETAMINE SULFATE STRENGTH: 2.5 UNITS: MG DEXTROAMPHETAMINE ADIPATE STRENGTH: 2.5 UNITS: MG
CS FEDERAL SCHEDULE	Schedule II Non-Narcotics
INACTIVATION DATE	2007-09-18 00:00:00
DSS NUMBER	3
NATIONAL FORMULARY NAME	AMPHETAMINE/DEXTROAMPHETAMINE 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	AMPHETAMINE 2.5/DEXTROAMPHET 5MG CAP
VA PRODUCT IDENTIFIER	A0859
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4006754
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-18 00:00:00 STATUS: INACTIVE