| NAME |
ARFORMOTEROL TARTRATE 7.5MCG/ML SOLN,INHL,2ML |
| VA GENERIC NAME |
ARFORMOTEROL |
| DOSAGE FORM |
SOLN,INHL |
| FDA MED GUIDE |
Arformoterol_(Brovana)_(2014).pdf |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
7.5 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| UNITS |
MCG/ML |
| NATIONAL FORMULARY NAME |
ARFORMOTEROL SOLN,INHL |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
- COPAY END DATE: 2021-06-09 00:00:00
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2021-06-10 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
ARFORMOTEROL 7.5MCG/ML SOLN INHL 2ML |
| VA PRODUCT IDENTIFIER |
A1357 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4026096 |
| EFFECTIVE DATE/TIME |
-
- 2007-05-23 00:00:00
- STATUS: ACTIVE
|
