ERTUGLIFLOZIN 2.5MG/METFORMIN 500MG TAB (28318) VA PRODUCT (50.68)

Name	Value
NAME	ERTUGLIFLOZIN 2.5MG/METFORMIN 500MG TAB
VA GENERIC NAME	ERTUGLIFLOZIN/METFORMIN
DOSAGE FORM	TAB,ORAL
FDA MED GUIDE	Ertugliflozin-Metformin_(Segluromet)_(2022).pdf
ACTIVE INGREDIENTS	METFORMIN HYDROCHLORIDE STRENGTH: 500 UNITS: MG ERTUGLIFLOZIN STRENGTH: 2.5 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	ERTUGLIFLOZIN/METFORMIN TAB,ORAL
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 3 COPAY EFFECTIVE DATE: 2018-04-01 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	ERTUGLIFLOZIN 2.5MG/METFORMIN 500MG TAB
VA PRODUCT IDENTIFIER	E0734
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4037310
EFFECTIVE DATE/TIME	2018-02-15 00:00:00 STATUS: ACTIVE