DIDANOSINE 150MG TAB,CHEWABLE (9525)    VA PRODUCT (50.68)

Name Value
NAME DIDANOSINE 150MG TAB,CHEWABLE
VA GENERIC NAME DIDANOSINE
DOSAGE FORM TAB,CHEWABLE
ACTIVE INGREDIENTS
NATIONAL FORMULARY RESTRICTION 
Refer to HIV/AIDS TAG treatment guidelines
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 150
INACTIVATION DATE 2007-01-01 00:00:00
UNITS MG
DSS NUMBER 12
NATIONAL FORMULARY NAME DIDANOSINE TAB,CHEWABLE
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 DIDANOSINE 150MG CHEW TAB
VA PRODUCT IDENTIFIER D0069
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4009945
EFFECTIVE DATE/TIME
  • 1999-08-05 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-01-01 00:00:00
    STATUS:   INACTIVE