| NAME |
INSULIN,HUMAN 4 UNIT X 90,ORAL,CARTRIDGE,KIT |
| VA GENERIC NAME |
INSULIN |
| DOSAGE FORM |
INHL,ORAL |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
4 |
| INACTIVATION DATE |
2015-01-13 00:00:00 |
| UNITS |
UNIT |
| NATIONAL FORMULARY NAME |
INSULIN INHL,ORAL |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
INSULIN 4 UNIT X 90 INHL KIT |
| VA PRODUCT IDENTIFIER |
I0586 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
KIT |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4034040 |
| EFFECTIVE DATE/TIME |
-
- 2015-01-08 00:00:00
- STATUS: ACTIVE
|
