EFAVIRENZ 600MG/LAMIVUDINE 300MG/TENOFOVIR DF 300MG TAB (28438) VA PRODUCT (50.68)

Name	Value
NAME	EFAVIRENZ 600MG/LAMIVUDINE 300MG/TENOFOVIR DF 300MG TAB
VA GENERIC NAME	EFAVIRENZ/LAMIVUDINE/TENOFOVIR
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	LAMIVUDINE STRENGTH: 300 UNITS: MG EFAVIRENZ STRENGTH: 600 UNITS: MG TENOFOVIR DISOPROXIL FUMARATE STRENGTH: 300 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	EFAVIRENZ/LAMIVUDINE/TENOFOVIR TAB
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: 2018-06-01 00:00:00 COPAY END DATE: 2020-09-23 00:00:00 COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2020-09-24 00:00:00
PGX ELIGIBLE	YES
PGX SUPPRESSED	NO
VA PRINT NAME	EFAVIRENZ 600/LAMIVU 300/TENOF 300MG TAB
VA PRODUCT IDENTIFIER	E0741
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4037451
EFFECTIVE DATE/TIME	2018-04-16 00:00:00 STATUS: ACTIVE