IBOGAINE HCL 100% MISCELLANEOUS (6984)    VA PRODUCT (50.68)

Name Value
NAME IBOGAINE HCL 100% MISCELLANEOUS
VA GENERIC NAME IBOGAINE
DOSAGE FORM MISCELLANEOUS
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 100
UNITS %
DSS NUMBER 1
NATIONAL FORMULARY NAME IBOGAINE MISCELLANEOUS
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
TRANSMIT TO CMOP NO
MASTER ENTRY FOR VUID YES
VUID 4007496
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE