FLUTICASONE 100MCG/SALMETEROL 50MCG INHL,ORAL,DISKUS,14 (22621)    VA PRODUCT (50.68)

Name Value
NAME FLUTICASONE 100MCG/SALMETEROL 50MCG INHL,ORAL,DISKUS,14
VA GENERIC NAME FLUTICASONE/SALMETEROL
DOSAGE FORM INHL,ORAL
FDA MED GUIDE Fluticasone-Salmeterol_(Advair_Diskus)_(2016).pdf
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
  • RxNorm
    CODE:
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 100/SALMETEROL 50 INHL DISK 14
VA PRODUCT IDENTIFIER F0504
TRANSMIT TO CMOP YES
VA DISPENSE UNIT DISK
MASTER ENTRY FOR VUID YES
VUID 4030939
EFFECTIVE DATE/TIME
  • 2011-09-12 00:00:00
    STATUS:   ACTIVE
  • 2019-05-16 00:00:00
    STATUS:   INACTIVE
  • 2019-06-20 00:00:00
    STATUS:   ACTIVE