INV-NIRMATRELVIR 150MG X 4/RITONAVIR 100MG X 2 TAB DAILY PACK (31666) VA PRODUCT (50.68)

Name	Value
NAME	INV-NIRMATRELVIR 150MG X 4/RITONAVIR 100MG X 2 TAB DAILY PACK
VA GENERIC NAME	NIRMATRELVIR/RITONAVIR
DOSAGE FORM	TAB,ORAL
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	RITONAVIR STRENGTH: 100 UNITS: MG NIRMATRELVIR STRENGTH: 150 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	NIRMATRELVIR/RITONAVIR TAB,ORAL
CREATE DEFAULT POSSIBLE DOSAGE	NO
POSSIBLE DOSAGES TO CREATE	No Possible Dosages
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 0 COPAY EFFECTIVE DATE: 2022-01-07 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	INV-PAXLOVID 150MGX4/100MGX2 DAILY PKT
VA PRODUCT IDENTIFIER	I0728
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	PKT
MASTER ENTRY FOR VUID	YES
VUID	4041084
EFFECTIVE DATE/TIME	2022-01-07 00:00:00 STATUS: ACTIVE