FORMOTEROL FUM 4.8MCG/GLYCOPYRROLATE 9MCG/SPRAY INHL,ORAL,10.7GM (27026) VA PRODUCT (50.68)

Name	Value
NAME	FORMOTEROL FUM 4.8MCG/GLYCOPYRROLATE 9MCG/SPRAY INHL,ORAL,10.7GM
VA GENERIC NAME	FORMOTEROL/GLYCOPYRROLATE
DOSAGE FORM	INHL,ORAL
FDA MED GUIDE	Formoterol-Glycopyrrolate_(Bevespi)_(2016).pdf
ACTIVE INGREDIENTS	GLYCOPYRROLATE STRENGTH: 9 UNITS: MCG FORMOTEROL FUMARATE STRENGTH: 4.8 UNITS: MCG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	FORMOTEROL/GLYCOPYRROLATE INHL,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	NO
PGX SUPPRESSED	NO
VA PRINT NAME	FORMOTEROL 4.8/GLYCOPY 9MCG 120D PO INHL
VA PRODUCT IDENTIFIER	F0609
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	EA
MASTER ENTRY FOR VUID	YES
VUID	4035896
EFFECTIVE DATE/TIME	2016-07-15 00:00:00 STATUS: ACTIVE