FLUTICASONE 500MCG/SALMETEROL 50MCG INHL,ORAL,DISKUS,60 (15359) VA PRODUCT (50.68)

Name	Value
NAME	FLUTICASONE 500MCG/SALMETEROL 50MCG INHL,ORAL,DISKUS,60
VA GENERIC NAME	FLUTICASONE/SALMETEROL
DOSAGE FORM	INHL,ORAL
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	FLUTICASONE STRENGTH: 500 UNITS: MCG/BLSTR SALMETEROL XINAFOATE STRENGTH: 50 UNITS: MCG/BLSTR
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	FLUTICASONE/SALMETEROL INHL,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: 2019-03-06 00:00:00 COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2019-03-07 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	FLUTICAS 500/SALMETEROL 50 INHL DISK 60
VA PRODUCT IDENTIFIER	F0289
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	DISK
MASTER ENTRY FOR VUID	YES
VUID	4015723
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE