BUPRENORPHINE 4.2MG/NALOXONE 0.7MG FILM,BUCCAL (24963)    VA PRODUCT (50.68)

Name Value
NAME BUPRENORPHINE 4.2MG/NALOXONE 0.7MG FILM,BUCCAL
VA GENERIC NAME BUPRENORPHINE/NALOXONE
DOSAGE FORM FILM,BUCCAL
FDA MED GUIDE Buprenorphine-Naloxone_Film_SL_(Generic)_(2022).pdf
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Schedule III
SINGLE/MULTI SOURCE PRODUCT Single source
INACTIVATION DATE 2022-03-15 00:00:00
NATIONAL FORMULARY NAME BUPRENORPHINE/NALOXONE FILM,BUCCAL
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:   2021-12-15 00:00:00
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2021-12-16 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME BUPRENORPHINE 4.2/NALOX 0.7MG BUCCAL FLM
VA PRODUCT IDENTIFIER B0740
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4033611
EFFECTIVE DATE/TIME
  • 2014-08-22 00:00:00
    STATUS:   ACTIVE
  • 2022-03-15 00:00:00
    STATUS:   INACTIVE