| NAME |
THROMBIN 20000UNIT/VIL (BOVINE) SPRAY,TOP KIT |
| VA GENERIC NAME |
THROMBIN |
| DOSAGE FORM |
SPRAY,TOP |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
20000 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| UNITS |
UNIT/VIL |
| NATIONAL FORMULARY NAME |
THROMBIN SPRAY,TOP |
| 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 20000UNIT/VIL (BOV) TOP SPRAY |
| VA PRODUCT IDENTIFIER |
T0768 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4030682 |
| EFFECTIVE DATE/TIME |
-
- 2011-06-06 00:00:00
- STATUS: ACTIVE
|
