ATAZANAVIR 300MG/COBICISTAT 150MG TAB,ORAL (25423) VA PRODUCT (50.68)

Name	Value
NAME	ATAZANAVIR 300MG/COBICISTAT 150MG TAB,ORAL
VA GENERIC NAME	ATAZANAVIR/COBICISTAT
DOSAGE FORM	TAB,ORAL
ACTIVE INGREDIENTS	ATAZANAVIR STRENGTH: 300 UNITS: MG COBICISTAT STRENGTH: 150 UNITS: MG
NATIONAL FORMULARY INDICATOR	NO
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	ATAZANAVIR/COBICISTAT TAB,ORAL
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 3 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
PGX ELIGIBLE	YES
PGX SUPPRESSED	NO
VA PRINT NAME	ATAZANAVIR 300MG/COBICISTAT 150MG TAB
VA PRODUCT IDENTIFIER	A1785
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4034142
EFFECTIVE DATE/TIME	2015-02-13 00:00:00 STATUS: ACTIVE