SAXAGLIPTIN HCL 2.5MG TAB (20859)    VA PRODUCT (50.68)

Name Value
NAME SAXAGLIPTIN HCL 2.5MG TAB
VA GENERIC NAME SAXAGLIPTIN
DOSAGE FORM TAB
FDA MED GUIDE Saxagliptin_(Onglyza)_(2017).pdf
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 2.5
SINGLE/MULTI SOURCE PRODUCT Single source
UNITS MG
NATIONAL FORMULARY NAME SAXAGLIPTIN TAB
CREATE DEFAULT POSSIBLE DOSAGE YES
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 SAXAGLIPTIN HCL 2.5MG TAB
VA PRODUCT IDENTIFIER S0635
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4028939
EFFECTIVE DATE/TIME
  • 2009-09-09 00:00:00
    STATUS:   ACTIVE