LAMIVUDINE 300MG/TENOFOVIR DF 300MG TAB (28442) VA PRODUCT (50.68)

Name	Value
NAME	LAMIVUDINE 300MG/TENOFOVIR DF 300MG TAB
VA GENERIC NAME	LAMIVUDINE/TENOFOVIR
DOSAGE FORM	TAB
FORMULARY DESIGNATOR	PA-F
ACTIVE INGREDIENTS	LAMIVUDINE STRENGTH: 300 UNITS: MG TENOFOVIR DISOPROXIL FUMARATE STRENGTH: 300 UNITS: MG
NATIONAL FORMULARY INDICATOR	YES
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	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
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	LAMIVUDINE 300MG/TENOFOVIR DF 300MG TAB
VA PRODUCT IDENTIFIER	L0751
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4037453
EFFECTIVE DATE/TIME	2018-04-17 00:00:00 STATUS: ACTIVE