| NAME |
MOMETASONE FUROATE 200MCG/ACTUAT INHL,ORAL,120D,13GM |
| VA GENERIC NAME |
MOMETASONE |
| DOSAGE FORM |
INHL,ORAL |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
200 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| UNITS |
MCG/ACTUAT |
| NATIONAL FORMULARY NAME |
MOMETASONE INHL,ORAL |
| 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 |
MOMETASONE 200MCG/ACTUAT 120D ORAL INHL |
| VA PRODUCT IDENTIFIER |
M1043 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4033968 |
| EFFECTIVE DATE/TIME |
-
- 2014-12-19 00:00:00
- STATUS: ACTIVE
|
