DAPAGLIFLOZIN 2.5MG/METFORMIN 1000MG 24HR TAB,SA (28240) VA PRODUCT (50.68)

Name	Value
NAME	DAPAGLIFLOZIN 2.5MG/METFORMIN 1000MG 24HR TAB,SA
VA GENERIC NAME	DAPAGLIFLOZIN/METFORMIN
DOSAGE FORM	TAB,SA
FDA MED GUIDE	Dapagliflozin-Metformin_SA_(Xigduo_XR)_(Oct_2022).pdf
ACTIVE INGREDIENTS	METFORMIN HYDROCHLORIDE STRENGTH: 1000 UNITS: MG DAPAGLIFLOZIN STRENGTH: 2.5 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	DAPAGLIFLOZIN/METFORMIN TAB,SA
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 3 COPAY EFFECTIVE DATE: 2018-03-01 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	DAPAGLIFLOZIN 2.5/METFORM 1000MG 24HR TB
VA PRODUCT IDENTIFIER	D1176
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4037223
EFFECTIVE DATE/TIME	2018-01-18 00:00:00 STATUS: ACTIVE