| NAME |
FORMOTEROL FUMARATE 10MCG/ML SOLN,INH,2ML |
| VA GENERIC NAME |
FORMOTEROL |
| DOSAGE FORM |
SOLN,INHL |
| FDA MED GUIDE |
Formoterol_(Perforomist)_(2018).pdf |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
10 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| UNITS |
MCG/ML |
| NATIONAL FORMULARY NAME |
FORMOTEROL 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: 2021-06-30 00:00:00
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2021-07-01 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
FORMOTEROL FUM 10MCG/ML INH SOLN 2ML |
| VA PRODUCT IDENTIFIER |
F0405 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
2ML |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4027098 |
| EFFECTIVE DATE/TIME |
-
- 2008-02-05 00:00:00
- STATUS: ACTIVE
|
