| NAME |
BIMATOPROST 0.03% SOLN,EYELASH,3ML |
| VA GENERIC NAME |
BIMATOPROST |
| DOSAGE FORM |
SOLN,EYELASH |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
0.03 |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| UNITS |
% |
| NATIONAL FORMULARY NAME |
BIMATOPROST SOLN,EYELASH |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
BIMATOPROST 0.03% EYELASH SOLN 3ML |
| VA PRODUCT IDENTIFIER |
B0636 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
KIT |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4029324 |
| EFFECTIVE DATE/TIME |
-
- 2009-11-09 00:00:00
- STATUS: ACTIVE
|
