| NAME |
SITAGLIPTIN PHOSPHATE 50MG TAB,UD |
| VA GENERIC NAME |
SITAGLIPTIN |
| DOSAGE FORM |
TAB |
| FDA MED GUIDE |
Sitagliptin_(Januvia)_(2022).pdf |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
50 |
| INACTIVATION DATE |
2007-09-25 00:00:00 |
| UNITS |
MG |
| NATIONAL FORMULARY NAME |
SITAGLIPTIN TAB |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
- COPAY END DATE: 2023-01-24 00:00:00
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2023-01-25 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
SITAGLIPTIN PHOSPHATE 50MG TAB UD |
| VA PRODUCT IDENTIFIER |
S0478 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
TAB |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4025726 |
| EFFECTIVE DATE/TIME |
-
- 2006-11-29 00:00:00
- STATUS: ACTIVE
-
- 2007-09-25 00:00:00
- STATUS: INACTIVE
|
