CLOMIPRAMINE HCL 25MG CAP (8586)    VA PRODUCT (50.68)

Name Value
NAME CLOMIPRAMINE HCL 25MG CAP
VA GENERIC NAME CLOMIPRAMINE
DOSAGE FORM CAP,ORAL
FDA MED GUIDE Clomipramine_(Generic)_(2018).pdf
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 25
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MG
DSS NUMBER 1
NATIONAL FORMULARY NAME CLOMIPRAMINE 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 YES
PGX SUPPRESSED YES
VA PRINT NAME CLOMIPRAMINE HCL 25MG CAP
VA PRODUCT IDENTIFIER C0285
TRANSMIT TO CMOP YES
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4009046
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-19 00:00:00
    STATUS:   INACTIVE
  • 2007-10-10 00:00:00
    STATUS:   ACTIVE