DICLOFENAC NA 50MG TAB,EC,UD (8112)    VA PRODUCT (50.68)

Name Value
NAME DICLOFENAC NA 50MG TAB,EC,UD
VA GENERIC NAME DICLOFENAC
DOSAGE FORM TAB,EC
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 50
INACTIVATION DATE 2009-11-04 00:00:00
UNITS MG
DSS NUMBER 8
NATIONAL FORMULARY NAME DICLOFENAC TAB,EC
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   1
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
    COPAY END DATE:   2018-12-31 00:00:00
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2019-01-01 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 NA 50MG EC TAB UD
VA PRODUCT IDENTIFIER D0387
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4008587
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2009-11-04 00:00:00
    STATUS:   INACTIVE