OLODATEROL 2.5MCG/TIOTROPIUM 2.5MCG/ACTUAT INHL,ORAL,60D,4GM (25764)    VA PRODUCT (50.68)

Name Value
NAME OLODATEROL 2.5MCG/TIOTROPIUM 2.5MCG/ACTUAT INHL,ORAL,60D,4GM
VA GENERIC NAME OLODATEROL/TIOTROPIUM
DOSAGE FORM INHL,ORAL
FDA MED GUIDE Olodaterol-tiotropium_(Stiolto_respimat)_(2016).pdf
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
NATIONAL FORMULARY NAME OLODATEROL/TIOTROPIUM INHL,ORAL
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME OLODATEROL/TIOTROP 2.5MCG/ACTUAT 60D INH
VA PRODUCT IDENTIFIER O0367
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4034515
EFFECTIVE DATE/TIME
  • 2015-06-12 00:00:00
    STATUS:   ACTIVE