| NAME |
FLUTICASONE PROPIONATE 50MCG/SPRAY SOLN,NASAL,15.8GM |
| VA GENERIC NAME |
FLUTICASONE |
| DOSAGE FORM |
SOLN,NASAL |
| FORMULARY DESIGNATOR TEXT |
VISN's may prefer one formulary nasal steroid over another (Only Propionate Salts are formulary)
|
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
50 |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| UNITS |
MCG/SPRAY |
| NATIONAL FORMULARY NAME |
FLUTICASONE SOLN,NASAL |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| 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 |
FLUTICASONE PROP 50MCG 120D NASAL INHL |
| VA PRODUCT IDENTIFIER |
F0129 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4034083 |
| EFFECTIVE DATE/TIME |
-
- 2015-01-23 00:00:00
- STATUS: ACTIVE
|
