DICLOFENAC POTASSIUM 25MG TAB (8110)    VA PRODUCT (50.68)

Name Value
NAME DICLOFENAC POTASSIUM 25MG TAB
VA GENERIC NAME DICLOFENAC
DOSAGE FORM TAB
FDA MED GUIDE NSAIDs_(Class)_(2022).pdf
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 25
UNITS MG
DSS NUMBER 6
NATIONAL FORMULARY NAME DICLOFENAC 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
    COPAY END DATE:   2019-12-31 00:00:00
  • COPAY TIER LEVEL:   1
    COPAY EFFECTIVE DATE:   2020-01-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DICLOFENAC POTASSIUM 25MG TAB
VA PRODUCT IDENTIFIER D0263
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4008585
EFFECTIVE DATE/TIME
  • 2002-12-06 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE
  • 2021-11-08 00:00:00
    STATUS:   ACTIVE
  • 2022-02-25 00:00:00
    STATUS:   ACTIVE
  • 2022-02-25 00:00:00
    STATUS:   ACTIVE
  • 2022-02-25 00:00:00
    STATUS:   ACTIVE