LOPINAVIR 400MG/RITONAVIR 100MG/5ML SOLN,ORAL (14596) VA PRODUCT (50.68)

Name	Value
NAME	LOPINAVIR 400MG/RITONAVIR 100MG/5ML SOLN,ORAL
VA GENERIC NAME	LOPINAVIR/RITONAVIR
DOSAGE FORM	SOLN,ORAL
FDA MED GUIDE	Lopinavir-Ritonavir_Liq_(Generic)_(2020).pdf
HAZARDOUS TO DISPOSE	NO
FORMULARY DESIGNATOR	R
ACTIVE INGREDIENTS	RITONAVIR STRENGTH: 100 UNITS: MG/5ML LOPINAVIR STRENGTH: 400 UNITS: MG/5ML
NATIONAL FORMULARY INDICATOR	NO
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	LOPINAVIR/RITONAVIR SOLN,ORAL
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 3 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00 COPAY END DATE: 2017-04-30 00:00:00 COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2017-05-01 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	LOPINAVIR 400MG/RITONAVIR 100MG/5ML SOLN
VA PRODUCT IDENTIFIER	L0282
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4014960
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE