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Thursday 09/25/2025 05:42 PM PST
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Enter a Drug Name (Generic or Brand)
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Drug Name
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The text field contains invalid characters. Acceptable characters include [a-z], [A-Z], [0-9], spaces and characters [.?!,()-_+';:"].
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Effective Date
Effective Date is a required field.
Effective Date is not in the correct format, enter the value in the format 'MM/DD/YYYY'.
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Indicates a required field.
Enter a National Drug Code (NDC)
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NDC
NDC is a required field.
The text field contains invalid characters. Acceptable characters include [a-z], [A-Z], [0-9], spaces and characters [.?!,()-_+';:"].
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Effective Date
Effective Date is a required field.
Effective Date is not in the correct format, enter the value in the format 'MM/DD/YYYY'.
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