DARUNAVIR ETHANOLATE 600MG TAB (17708)    VA PRODUCT (50.68)

Name Value
NAME DARUNAVIR ETHANOLATE 600MG TAB
VA GENERIC NAME DARUNAVIR
DOSAGE FORM TAB
FORMULARY DESIGNATOR PA-F
FORMULARY DESIGNATOR TEXT 
Restricted to HIV/ID (or facility designated/authorized provider)
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR YES
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 600
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MG
NATIONAL FORMULARY NAME DARUNAVIR TAB
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE 1x Possible Dosage
PACKAGE Both Inpatient and Outpatient
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DARUNAVIR ETHANOLATE 600MG TAB
VA PRODUCT IDENTIFIER D0712
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4025320
EFFECTIVE DATE/TIME
  • 2006-07-03 00:00:00
    STATUS:   INACTIVE
  • 2006-07-03 00:00:00
    STATUS:   INACTIVE
  • 2006-07-03 00:00:00
    STATUS:   INACTIVE
  • 2008-04-10 00:00:00
    STATUS:   ACTIVE