| NAME |
FLUTICASONE FUROATE 27.5MCG/SPRAY SUSP,NASAL,10GM |
| VA GENERIC NAME |
FLUTICASONE |
| DOSAGE FORM |
INHL,NASAL |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
27.5 |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| INACTIVATION DATE |
2017-05-01 00:00:00 |
| UNITS |
MCG/SPRAY |
| NATIONAL FORMULARY NAME |
FLUTICASONE INHL,NASAL |
| 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: 2017-04-30 00:00:00
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-05-01 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
FLUTICASONE FURO 27.5MCG 120D NASAL INHL |
| VA PRODUCT IDENTIFIER |
F0392 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
INHALER |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4026117 |
| EFFECTIVE DATE/TIME |
-
- 2007-06-19 00:00:00
- STATUS: ACTIVE
|
