FLUTICASONE 113MCG/SALMETEROL 14MCG DIGIHALER (30388)    VA PRODUCT (50.68)

Name Value
NAME FLUTICASONE 113MCG/SALMETEROL 14MCG DIGIHALER
VA GENERIC NAME FLUTICASONE/SALMETEROL
DOSAGE FORM INHL,ORAL
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Single source
NATIONAL FORMULARY NAME FLUTICASONE/SALMETEROL INHL,ORAL
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2020-09-03 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME FLUTICASONE 113/SALMET 14MCG DIGIHALER
VA PRODUCT IDENTIFIER F0701
TRANSMIT TO CMOP NO
VA DISPENSE UNIT INHALER
MASTER ENTRY FOR VUID YES
VUID 4039677
EFFECTIVE DATE/TIME
  • 2020-09-03 00:00:00
    STATUS:   ACTIVE
  • 2020-09-03 00:00:00
    STATUS:   ACTIVE
  • 2020-09-03 00:00:00
    STATUS:   ACTIVE