BUPRENORPHINE 6.3MG/NALOXONE 1MG FILM,BUCCAL (24964)    VA PRODUCT (50.68)

Name Value
NAME BUPRENORPHINE 6.3MG/NALOXONE 1MG 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 2023-02-15 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:   2022-10-26 00:00:00
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2022-10-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME BUPRENORPHINE 6.3/NALOX 1MG BUCCAL FLM
VA PRODUCT IDENTIFIER B0741
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4033612
EFFECTIVE DATE/TIME
  • 2014-08-22 00:00:00
    STATUS:   ACTIVE
  • 2023-02-15 00:00:00
    STATUS:   INACTIVE