SOFOSBUVIR 200MG/VELPATASVIR 50MG/PKT PELLET,ORAL (31538) VA PRODUCT (50.68)

Name	Value
NAME	SOFOSBUVIR 200MG/VELPATASVIR 50MG/PKT PELLET,ORAL
VA GENERIC NAME	SOFOSBUVIR/VELPATASVIR
DOSAGE FORM	PELLET
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	SOFOSBUVIR STRENGTH: 200 UNITS: MG/PKT VELPATASVIR STRENGTH: 50 UNITS: MG/PKT
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	SOFOSBUVIR/VELPATASVIR PELLET
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: 2021-11-12 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	EPCLUSA 200MG/50MG/PKT ORAL PELLET
VA PRODUCT IDENTIFIER	E0848
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	PKT
MASTER ENTRY FOR VUID	YES
VUID	4040940
EFFECTIVE DATE/TIME	2021-11-12 00:00:00 STATUS: ACTIVE