| NAME |
TENOFOVIR DISOPROXIL FUMARATE 40MG/GM PWDR,ORAL |
| VA GENERIC NAME |
TENOFOVIR |
| DOSAGE FORM |
POWDER,ORAL |
| FORMULARY DESIGNATOR |
R |
| ACTIVE INGREDIENTS |
|
| NATIONAL FORMULARY INDICATOR |
NO |
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
40 |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| UNITS |
MG/GM |
| NATIONAL FORMULARY NAME |
TENOFOVIR POWDER,ORAL |
| 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
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
TENOFOVIR 40MG/GM ORAL POWDER |
| VA PRODUCT IDENTIFIER |
T0818 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
GM |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4032338 |
| EFFECTIVE DATE/TIME |
-
- 2013-04-24 00:00:00
- STATUS: ACTIVE
|
