| NAME |
FLUTICASONE 500MCG/SALMETEROL 50MCG INHL,ORAL,DISKUS,14 |
| VA GENERIC NAME |
FLUTICASONE/SALMETEROL |
| DOSAGE FORM |
INHL,ORAL |
| FDA MED GUIDE |
Fluticasone-Salmeterol_(Advair_Diskus)_(2017).pdf |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| NATIONAL FORMULARY NAME |
FLUTICASONE/SALMETEROL INHL,ORAL |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
- COPAY END DATE: 2020-01-05 00:00:00
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2020-01-06 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
FLUTICAS 500/SALMETEROL 50 INHL DISK 14 |
| VA PRODUCT IDENTIFIER |
F0474 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
DISK |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4030203 |
| EFFECTIVE DATE/TIME |
-
- 2010-10-13 00:00:00
- STATUS: ACTIVE
|
