TIOTROPIUM 2.5MCG/ACTUAT INHL,ORAL,60D,4GM (25158)    VA PRODUCT (50.68)

Name Value
NAME TIOTROPIUM 2.5MCG/ACTUAT INHL,ORAL,60D,4GM
VA GENERIC NAME TIOTROPIUM
DOSAGE FORM INHL,ORAL
FORMULARY DESIGNATOR TEXT 
Sites can use any formulation
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 2.5
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MCG/ACTUAT
NATIONAL FORMULARY NAME TIOTROPIUM INHL,ORAL
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TIOTROPIUM 2.5MCG/ACTUAT 60D ORAL INHL
VA PRODUCT IDENTIFIER T0881
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4033841
EFFECTIVE DATE/TIME
  • 2014-11-18 00:00:00
    STATUS:   ACTIVE