| NAME |
THROMBIN 5000UNT/VIL SOLN,NASAL,KIT W/SYRINGE |
| VA GENERIC NAME |
THROMBIN |
| DOSAGE FORM |
SOLN,NASAL |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
5000 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| UNITS |
UNT/VIL |
| NATIONAL FORMULARY NAME |
THROMBIN SOLN,NASAL |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
THROMBIN 5000UNT/VIL NASAL KIT W/SYR |
| VA PRODUCT IDENTIFIER |
T0667 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
KIT |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4026562 |
| EFFECTIVE DATE/TIME |
-
- 2007-10-10 00:00:00
- STATUS: ACTIVE
|
