| NAME |
ALBUTEROL (PROVENTIL) 90MCG/SPRAY INHL,ORAL,17GM |
| VA GENERIC NAME |
ALBUTEROL |
| DOSAGE FORM |
INHALANT |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
90 |
| INACTIVATION DATE |
2010-09-02 00:00:00 |
| UNITS |
MCG/INHL |
| NATIONAL FORMULARY NAME |
ALBUTEROL INHALANT |
| 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 |
ALBUTEROL(PROVENTIL) 90MCG 200D ORAL INH |
| VA PRODUCT IDENTIFIER |
A1002 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4013296 |
| EFFECTIVE DATE/TIME |
-
- 2005-03-10 00:00:00
- STATUS: ACTIVE
-
- 2010-09-02 00:00:00
- STATUS: INACTIVE
|
