| NAME |
OCTAFLUOROPROPANE MICROSPHERE 10MG/ML INJ,SUSP |
| VA GENERIC NAME |
OCTAFLUOROPROPANE |
| DOSAGE FORM |
INJ |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Schedule III Non-Narcotics |
| STRENGTH |
10 |
| INACTIVATION DATE |
2008-09-02 00:00:00 |
| UNITS |
MG/ML |
| NATIONAL FORMULARY NAME |
OCTAFLUOROPROPANE INJ |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
OCTAFLUOROPROPANE 10MG/ML INJ SUSP |
| VA PRODUCT IDENTIFIER |
O0175 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
ML |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4016276 |
| EFFECTIVE DATE/TIME |
-
- 2005-03-10 00:00:00
- STATUS: ACTIVE
-
- 2008-09-02 00:00:00
- STATUS: INACTIVE
|
