| NAME |
EMPAGLIFLOZIN 10MG/LINAGLIPTIN 5MG TAB,ORAL |
| VA GENERIC NAME |
EMPAGLIFLOZIN/LINAGLIPTIN |
| DOSAGE FORM |
TAB,ORAL |
| FDA MED GUIDE |
Empagliflozin-Linagliptin_(Glyxambi)_(Oct_2022).pdf |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| NATIONAL FORMULARY NAME |
EMPAGLIFLOZIN/LINAGLIPTIN TAB,ORAL |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| 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 |
EMPAGLIFLOZIN 10MG/LINAGLIPTIN 5MG TAB |
| VA PRODUCT IDENTIFIER |
E0638 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
TAB |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4034157 |
| EFFECTIVE DATE/TIME |
-
- 2015-02-13 00:00:00
- STATUS: ACTIVE
|