SOFOSBUVIR 200MG/VELPATASVIR 50MG TAB (30510) VA PRODUCT (50.68)

Name	Value
NAME	SOFOSBUVIR 200MG/VELPATASVIR 50MG TAB
VA GENERIC NAME	SOFOSBUVIR/VELPATASVIR
DOSAGE FORM	TAB,ORAL
HAZARDOUS TO DISPOSE	NO
FORMULARY DESIGNATOR	PA-F
ACTIVE INGREDIENTS	SOFOSBUVIR STRENGTH: 200 UNITS: MG VELPATASVIR STRENGTH: 50 UNITS: MG
NATIONAL FORMULARY INDICATOR	YES
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	SOFOSBUVIR/VELPATASVIR TAB,ORAL
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2020-11-03 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	SOFOSBUVIR 200MG/VELPATASVIR 50MG TAB
VA PRODUCT IDENTIFIER	S0908
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4039809
EFFECTIVE DATE/TIME	2020-11-03 00:00:00 STATUS: ACTIVE 2020-11-03 00:00:00 STATUS: ACTIVE 2020-11-03 00:00:00 STATUS: ACTIVE