| NAME |
ZOLMITRIPTAN 5MG SOLN,NASAL |
| VA GENERIC NAME |
ZOLMITRIPTAN |
| DOSAGE FORM |
SOLN,NASAL |
| ACTIVE INGREDIENTS |
|
| NATIONAL FORMULARY INDICATOR |
NO |
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
5 |
| INACTIVATION DATE |
2006-04-28 00:00:00 |
| UNITS |
MG |
| NATIONAL FORMULARY NAME |
ZOLMITRIPTAN SOLN,NASAL |
| 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 |
ZOLMITRIPTAN 5MG SOLN,NASAL |
| VA PRODUCT IDENTIFIER |
Z0059 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4016906 |
| EFFECTIVE DATE/TIME |
-
- 2005-03-10 00:00:00
- STATUS: ACTIVE
-
- 2006-04-28 00:00:00
- STATUS: INACTIVE
|
