VONQUEZNA TRIPLE PAK DAILY DOSE PACK (32014) VA PRODUCT (50.68)

Name	Value
NAME	VONQUEZNA TRIPLE PAK DAILY DOSE PACK
VA GENERIC NAME	AMOXICILLIN/CLARITHROMYCIN/VONOPRAZAN
DOSAGE FORM	MISCELLANEOUS
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	AMOXICILLIN TRIHYDRATE STRENGTH: 500 UNITS: MG CLARITHROMYCIN STRENGTH: 500 UNITS: MG VONOPRAZAN STRENGTH: 20 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
INACTIVATION DATE	2022-08-22 00:00:00
NATIONAL FORMULARY NAME	AMOXICILLIN/CLARITHROMYCIN/VONOPRAZAN MISCELLANEOUS
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: 2022-06-02 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	VONQUEZNA TRIPLE PAK DAILY DOSE PACK
VA PRODUCT IDENTIFIER	V0350
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	PKG
MASTER ENTRY FOR VUID	YES
VUID	4041470
EFFECTIVE DATE/TIME	2022-06-02 00:00:00 STATUS: ACTIVE 2022-08-22 00:00:00 STATUS: INACTIVE