| NAME |
MOMETASONE FUROATE MONOHYDRATE 50MCG/ACTUAT SUSP,NASAL,17GM |
| VA GENERIC NAME |
MOMETASONE |
| DOSAGE FORM |
INHL,NASAL |
| NATIONAL FORMULARY RESTRICTION |
Class review in progress
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
50 |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| UNITS |
MCG/ACTUAT |
| NATIONAL FORMULARY NAME |
MOMETASONE SUSP |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
MOMETASONE FUROATE 50MCG 120D NASAL SUSP |
| VA PRODUCT IDENTIFIER |
M0445 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4013284 |
| EFFECTIVE DATE/TIME |
-
- 2005-03-10 00:00:00
- STATUS: ACTIVE
|
