DEXTRANOMER MICROSPHERES (DEFLUX) 50MG/ML SYR,1ML (17807)    VA PRODUCT (50.68)

Name Value
NAME DEXTRANOMER MICROSPHERES (DEFLUX) 50MG/ML SYR,1ML
VA GENERIC NAME DEXTRANOMER
DOSAGE FORM INJ,SUSP
ACTIVE INGREDIENTS
STRENGTH 50
UNITS MG/ML
NATIONAL FORMULARY NAME DEXTRANOMER INJ,SUSP
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DEFLUX 50MG/ML 1ML SYR
VA PRODUCT IDENTIFIER D0709
TRANSMIT TO CMOP NO
VA DISPENSE UNIT SYR
MASTER ENTRY FOR VUID YES
VUID 4025419
EFFECTIVE DATE/TIME
  • 2006-07-20 00:00:00
    STATUS:   ACTIVE