| NAME |
BUDESONIDE 2MG/ACTUAT AEROSOL,RTL |
| VA GENERIC NAME |
BUDESONIDE |
| DOSAGE FORM |
AEROSOL,RTL |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
2 |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| UNITS |
MG/ACTUAT |
| NATIONAL FORMULARY NAME |
BUDESONIDE AEROSOL,RTL |
| 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: 2023-04-26 00:00:00
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2023-04-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
BUDESONIDE 2MG/ACTUAT RTL AEROSOL |
| VA PRODUCT IDENTIFIER |
B0750 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
GM |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4033888 |
| EFFECTIVE DATE/TIME |
-
- 2014-11-28 00:00:00
- STATUS: ACTIVE
|
