| NAME |
FLUOCINOLONE 0.19MG IMPLANT,OPH |
| VA GENERIC NAME |
FLUOCINOLONE |
| DOSAGE FORM |
IMPLANT |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
0.19 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| UNITS |
MG |
| NATIONAL FORMULARY NAME |
FLUOCINOLONE IMPLANT |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
FLUOCINOLONE 0.19MG OPH IMPLANT |
| VA PRODUCT IDENTIFIER |
F0548 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4033961 |
| EFFECTIVE DATE/TIME |
-
- 2014-12-18 00:00:00
- STATUS: ACTIVE
|
