ABACAVIR SO4 300MG/LAMIVUDINE 150MG/ZIDOVUDINE 300MG TAB (14715) VA PRODUCT (50.68)

Name	Value
NAME	ABACAVIR SO4 300MG/LAMIVUDINE 150MG/ZIDOVUDINE 300MG TAB
VA GENERIC NAME	ABACAVIR/LAMIVUDINE/ZIDOVUDINE
DOSAGE FORM	TAB
FDA MED GUIDE	Abacavir-Lamivudine-Zidovudine_(Trizivir)_(2021).pdf
FORMULARY DESIGNATOR	PA-F
FORMULARY DESIGNATOR TEXT	Restricted to HIV/ID (or facility designated/authorized provider)
ACTIVE INGREDIENTS	ZIDOVUDINE STRENGTH: 300 UNITS: MG LAMIVUDINE STRENGTH: 150 UNITS: MG ABACAVIR SULFATE STRENGTH: 300 UNITS: MG
NATIONAL FORMULARY INDICATOR	YES
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	ABACAVIR/LAMIVUDINE/ZIDOVUDINE TAB
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	ABACAVIR300/LAMIVUDINE150/ZDV 300MG TAB
VA PRODUCT IDENTIFIER	A1067
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4015079
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE