| NAME |
KETOROLAC TROMETHAMINE 15.75MG/SPRAY SOLN,NASAL,5 DAY |
| VA GENERIC NAME |
KETOROLAC TROMETHAMINE |
| DOSAGE FORM |
SOLN,SPRAY,NASAL |
| FDA MED GUIDE |
NSAIDs_(Class)_(2022).pdf |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
15.75 |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| UNITS |
MG/SPRAY |
| NATIONAL FORMULARY NAME |
KETOROLAC TROMETHAMINE SOLN,SPRAY,NASAL |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
- COPAY END DATE: 2020-02-20 00:00:00
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2020-02-21 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
KETOROLAC 15.75MG/SPRAY NASAL 5 DAY |
| VA PRODUCT IDENTIFIER |
K0055 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
BTL |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4030787 |
| EFFECTIVE DATE/TIME |
-
- 2011-07-12 00:00:00
- STATUS: ACTIVE
|
