ALOGLIPTIN 12.5MG/METFORMIN 1000MG TAB (23637) VA PRODUCT (50.68)

Name	Value
NAME	ALOGLIPTIN 12.5MG/METFORMIN 1000MG TAB
VA GENERIC NAME	ALOGLIPTIN/METFORMIN
DOSAGE FORM	TAB
FDA MED GUIDE	Alogliptin_Metformin_(Generic)_(2017).pdf
ACTIVE INGREDIENTS	METFORMIN HYDROCHLORIDE STRENGTH: 1000 UNITS: MG ALOGLIPTIN STRENGTH: 12.5 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	ALOGLIPTIN/METFORMIN TAB
CREATE DEFAULT POSSIBLE DOSAGE	NO
POSSIBLE DOSAGES TO CREATE	1x Possible Dosage
PACKAGE	Both Inpatient and Outpatient
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	ALOGLIPTIN 12.5MG/METFORMIN 1000MG TAB
VA PRODUCT IDENTIFIER	A1693
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4032119
EFFECTIVE DATE/TIME	2013-02-21 00:00:00 STATUS: ACTIVE