| NAME |
AMPHETAMINE SO4 5MG TAB |
| VA GENERIC NAME |
AMPHETAMINE |
| DOSAGE FORM |
TAB |
| FDA MED GUIDE |
Amphetamine_(Generic)_(2018).pdf |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Schedule II Non-Narcotics |
| STRENGTH |
5 |
| UNITS |
MG |
| DSS NUMBER |
1 |
| NATIONAL FORMULARY NAME |
AMPHETAMINE TAB |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
- COPAY END DATE: 2018-10-11 00:00:00
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2018-10-12 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
AMPHETAMINE SULFATE 5MG TAB |
| VA PRODUCT IDENTIFIER |
A0863 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
TAB |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4007330 |
| EFFECTIVE DATE/TIME |
-
- 2005-03-10 00:00:00
- STATUS: ACTIVE
-
- 2008-09-03 00:00:00
- STATUS: INACTIVE
|
