LETROZOLE 2.5MG TAB,28/RIBOCICLIB 200MG TAB,63 PACK (27733) VA PRODUCT (50.68)

Name	Value
NAME	LETROZOLE 2.5MG TAB,28/RIBOCICLIB 200MG TAB,63 PACK
VA GENERIC NAME	LETROZOLE/RIBOCICLIB
DOSAGE FORM	TAB
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	LETROZOLE STRENGTH: 2.5 UNITS: MG RIBOCICLIB STRENGTH: 200 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	LETROZOLE/RIBOCICLIB TAB
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: 2017-07-01 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	LETROZOLE 2.5,28/RIBOCICLIB 200MG,63 PKT
VA PRODUCT IDENTIFIER	L0732
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	KIT
MASTER ENTRY FOR VUID	YES
VUID	4036683
EFFECTIVE DATE/TIME	2017-05-23 00:00:00 STATUS: ACTIVE