MOMETASONE FUROATE 220MCG/INHL INHL,ORAL,30 (17256)    VA PRODUCT (50.68)

Name Value
NAME MOMETASONE FUROATE 220MCG/INHL INHL,ORAL,30
VA GENERIC NAME MOMETASONE
DOSAGE FORM INHL,ORAL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 220
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MCG/INHL
NATIONAL FORMULARY NAME MOMETASONE INHL,ORAL
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME MOMETASONE FUROATE 220MCG ORAL INHL 30
VA PRODUCT IDENTIFIER M0650
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4024688
EFFECTIVE DATE/TIME
  • 2006-01-24 00:00:00
    STATUS:   ACTIVE