CLOFAZIMINE 100MG CAP (8617)    VA PRODUCT (50.68)

Name Value
NAME CLOFAZIMINE 100MG CAP
VA GENERIC NAME CLOFAZIMINE
DOSAGE FORM CAP,ORAL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 100
INACTIVATION DATE 2002-05-24 00:00:00
UNITS MG
DSS NUMBER 2
NATIONAL FORMULARY NAME CLOFAZIMINE 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 NO
PGX SUPPRESSED NO
VA PRINT NAME CLOFAZIMINE 100MG CAP
VA PRODUCT IDENTIFIER C0282
TRANSMIT TO CMOP YES
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4009077
EFFECTIVE DATE/TIME
  • 2002-05-24 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE