AZELASTINE HCL 137MCG/FLUTICASONE 50MCG/SPRAY SOLN,NASAL,120D (23136) VA PRODUCT (50.68)

Name	Value
NAME	AZELASTINE HCL 137MCG/FLUTICASONE 50MCG/SPRAY SOLN,NASAL,120D
VA GENERIC NAME	AZELASTINE/FLUTICASONE
DOSAGE FORM	SUSP,NASAL
ACTIVE INGREDIENTS	FLUTICASONE PROPIONATE STRENGTH: 50 UNITS: MCG/SPRAY AZELASTINE HYDROCHLORIDE STRENGTH: 137 UNITS: MCG/SPRAY
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	AZELASTINE/FLUTICASONE SUSP,NASAL
CREATE DEFAULT POSSIBLE DOSAGE	NO
POSSIBLE DOSAGES TO CREATE	No Possible Dosages
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 3 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00 COPAY END DATE: 2020-03-18 00:00:00 COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2020-03-19 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	AZELASTINE 137/FLUTIC 50MCG 120D NASAL
VA PRODUCT IDENTIFIER	A1661
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	EA
MASTER ENTRY FOR VUID	YES
VUID	4031548
EFFECTIVE DATE/TIME	2012-07-09 00:00:00 STATUS: ACTIVE