BUDESONIDE 160MCG/FORMOTEROL FUM 4.5MCG/SPRAY INHL,ORAL,10.2GM (18427) VA PRODUCT (50.68)

Name	Value
NAME	BUDESONIDE 160MCG/FORMOTEROL FUM 4.5MCG/SPRAY INHL,ORAL,10.2GM
VA GENERIC NAME	BUDESONIDE/FORMOTEROL
DOSAGE FORM	INHL,ORAL
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	BUDESONIDE STRENGTH: 160 UNITS: MCG/SPRAY FORMOTEROL FUMARATE DIHYDRATE STRENGTH: 4.5 UNITS: MCG/SPRAY
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	BUDESONIDE/FORMOTEROL 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: 2020-01-15 00:00:00 COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2020-01-16 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	BUDESONIDE 160/FORMOTER 4.5MCG 120D INH
VA PRODUCT IDENTIFIER	B0574
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	INHALER
MASTER ENTRY FOR VUID	YES
VUID	4026214
EFFECTIVE DATE/TIME	2007-07-24 00:00:00 STATUS: ACTIVE