SAQUINAVIR 200MG (FORTOVASE) CAP (12467)    VA PRODUCT (50.68)

Name Value
NAME SAQUINAVIR 200MG (FORTOVASE) CAP
VA GENERIC NAME SAQUINAVIR
DOSAGE FORM CAP,ORAL
FORMULARY DESIGNATOR TEXT
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR NO
NATIONAL FORMULARY RESTRICTION 
Refer to HIV/AIDS TAG treatment guidelines
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 200
INACTIVATION DATE 2006-06-26 00:00:00
UNITS MG
DSS NUMBER 2
NATIONAL FORMULARY NAME SAQUINAVIR 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 SAQUINAVIR 200MG (FORTOVASE) CAP
VA PRODUCT IDENTIFIER S0233
TRANSMIT TO CMOP YES
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4012833
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2006-06-26 00:00:00
    STATUS:   INACTIVE
  • 2006-06-26 00:00:00
    STATUS:   INACTIVE