DAPAGLIFLOZIN 10MG/SAXAGLIPTIN 5MG TAB (28098) VA PRODUCT (50.68)

Name	Value
NAME	DAPAGLIFLOZIN 10MG/SAXAGLIPTIN 5MG TAB
VA GENERIC NAME	DAPAGLIFLOZIN/SAXAGLIPTIN
DOSAGE FORM	TAB,ORAL
FDA MED GUIDE	Dapagliflozin-Saxagliptin_(Qtern)_(2022).pdf
ACTIVE INGREDIENTS	SAXAGLIPTIN STRENGTH: 5 UNITS: MG DAPAGLIFLOZIN STRENGTH: 10 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	DAPAGLIFLOZIN/SAXAGLIPTIN TAB,ORAL
CREATE DEFAULT POSSIBLE DOSAGE	NO
POSSIBLE DOSAGES TO CREATE	1x Possible Dosage
PACKAGE	Both Inpatient and Outpatient
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 3 COPAY EFFECTIVE DATE: 2018-01-01 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	DAPAGLIFLOZIN 10MG/SAXAGLIPTIN 5MG TAB
VA PRODUCT IDENTIFIER	D1172
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4037068
EFFECTIVE DATE/TIME	2017-11-20 00:00:00 STATUS: ACTIVE