ACLIDINIUM 400MCG/FORMOTEROL 12MCG/ACTUAT,INHL,ORAL,60D (29570) VA PRODUCT (50.68)

Name	Value
NAME	ACLIDINIUM 400MCG/FORMOTEROL 12MCG/ACTUAT,INHL,ORAL,60D
VA GENERIC NAME	ACLIDINIUM/FORMOTEROL
DOSAGE FORM	INHL,ORAL
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	FORMOTEROL STRENGTH: 12 UNITS: MCG/ACTUAT ACLIDINIUM STRENGTH: 400 UNITS: MCG/ACTUAT
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	ACLIDINIUM/FORMOTEROL INHL,ORAL
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: 2019-10-07 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	ACLIDINIUM 400/FORMOTEROL 12/MCG 60D INH
VA PRODUCT IDENTIFIER	A2032
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	EA
MASTER ENTRY FOR VUID	YES
VUID	4038753
EFFECTIVE DATE/TIME	2019-10-07 00:00:00 STATUS: ACTIVE