NICOTINE 5MG/16HRS PATCH (9700)    VA PRODUCT (50.68)

Name Value
NAME NICOTINE 5MG/16HRS PATCH
VA GENERIC NAME NICOTINE
DOSAGE FORM PATCH
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
NATIONAL FORMULARY RESTRICTION 
RESTRICTED TO SMOKING CESSATION PROGRAMS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 5
INACTIVATION DATE 2002-09-25 00:00:00
UNITS MG/16HRS
DSS NUMBER 7
NATIONAL FORMULARY NAME NICOTINE PATCH
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 NICOTINE 5MG/16HR PATCH
VA PRODUCT IDENTIFIER N0505
TRANSMIT TO CMOP YES
VA DISPENSE UNIT PATCH
MASTER ENTRY FOR VUID YES
VUID 4010109
EFFECTIVE DATE/TIME
  • 2002-09-25 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE