RITONAVIR 100MG POWDER,ORAL PKT (28542)    VA PRODUCT (50.68)

Name Value
NAME RITONAVIR 100MG POWDER,ORAL PKT
VA GENERIC NAME RITONAVIR
DOSAGE FORM POWDER,ORAL
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR NO
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 100
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MG
NATIONAL FORMULARY NAME RITONAVIR POWDER,ORAL
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2018-06-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME RITONAVIR 100MG ORAL POWDER PKT
VA PRODUCT IDENTIFIER R0377
TRANSMIT TO CMOP NO
VA DISPENSE UNIT PKT
MASTER ENTRY FOR VUID YES
VUID 4037565
EFFECTIVE DATE/TIME
  • 2018-05-24 00:00:00
    STATUS:   ACTIVE
  • 2018-05-24 00:00:00
    STATUS:   ACTIVE