| NAME |
FAMOTIDINE 26.6MG/IBUPROFEN 800MG TAB |
| VA GENERIC NAME |
FAMOTIDINE/IBUPROFEN |
| DOSAGE FORM |
TAB |
| FDA MED GUIDE |
Famotidine_Ibuprofen_(Duexis)_(2021).pdf |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| NATIONAL FORMULARY NAME |
FAMOTIDINE/IBUPROFEN TAB |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
- COPAY END DATE: 2021-08-12 00:00:00
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2021-08-13 00:00:00
|
| PGX ELIGIBLE |
YES |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
FAMOTIDINE 26.6MG/IBUPROFEN 800MG TAB |
| VA PRODUCT IDENTIFIER |
F0499 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
TAB |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4030668 |
| EFFECTIVE DATE/TIME |
-
- 2011-06-06 00:00:00
- STATUS: ACTIVE
|
