ERTUGLIFLOZIN 7.5MG/METFORMIN 1000MG TAB (28321)    VA PRODUCT (50.68)

Name Value
NAME ERTUGLIFLOZIN 7.5MG/METFORMIN 1000MG TAB
VA GENERIC NAME ERTUGLIFLOZIN/METFORMIN
DOSAGE FORM TAB,ORAL
FDA MED GUIDE Ertugliflozin-Metformin_(Segluromet)_(2022).pdf
ACTIVE INGREDIENTS
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 7.5MG/METFORMIN 1000MG TAB
VA PRODUCT IDENTIFIER E0737
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4037313
EFFECTIVE DATE/TIME
  • 2018-02-15 00:00:00
    STATUS:   ACTIVE