DIDANOSINE 83.3MG/5ML SOLN,ORAL (9530)    VA PRODUCT (50.68)

Name Value
NAME DIDANOSINE 83.3MG/5ML SOLN,ORAL
VA GENERIC NAME DIDANOSINE
DOSAGE FORM PWDR,RENST-ORAL
FDA MED GUIDE Didanosine_Powder_(Videx)_(2018).pdf
ACTIVE INGREDIENTS
NATIONAL FORMULARY RESTRICTION 
Refer to HIV/AIDS TAG treatment guidelines
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 83.3
INACTIVATION DATE 1999-06-07 00:00:00
UNITS MG/5ML
DSS NUMBER 9
NATIONAL FORMULARY NAME DIDANOSINE PWDR,RENST-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 DIDANOSINE 83.3MG/5ML SOLN
VA PRODUCT IDENTIFIER D0214
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4009950
EFFECTIVE DATE/TIME
  • 1999-06-07 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE