IVACAFTOR/TEZACAFTOR 75-50MG/IVACAFTOR 75MG TAB,14 (29377) VA PRODUCT (50.68)

Name	Value
NAME	IVACAFTOR/TEZACAFTOR 75-50MG/IVACAFTOR 75MG TAB,14
VA GENERIC NAME	IVACAFTOR/TEZACAFTOR
DOSAGE FORM	TAB
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	IVACAFTOR STRENGTH: 75 UNITS: MG TEZACAFTOR STRENGTH: 50 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	IVACAFTOR/TEZACAFTOR TAB
CREATE DEFAULT POSSIBLE DOSAGE	NO
POSSIBLE DOSAGES TO CREATE	No Possible Dosages
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 3 COPAY EFFECTIVE DATE: 2019-07-05 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	SYMDEKO 50-75MG/75MG TAB,14
VA PRODUCT IDENTIFIER	S0879
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	PKG
MASTER ENTRY FOR VUID	YES
VUID	4038530
EFFECTIVE DATE/TIME	2019-07-05 00:00:00 STATUS: ACTIVE 2019-07-05 00:00:00 STATUS: ACTIVE