| NAME |
FENTANYL 40MCG/ACTUATION 24HR IONTOPHORETIC SYSTEM |
| VA GENERIC NAME |
FENTANYL |
| DOSAGE FORM |
IONTOPHORETIC SYSTEM |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Schedule II |
| STRENGTH |
40 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| INACTIVATION DATE |
2018-01-17 00:00:00 |
| UNITS |
MCG/ACTUAT |
| NATIONAL FORMULARY NAME |
FENTANYL IONTOPHORETIC SYSTEM |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| 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 |
FENTANYL 40MCG/ACTUAT 24HR ION SYSTEM |
| VA PRODUCT IDENTIFIER |
F0568 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4034514 |
| EFFECTIVE DATE/TIME |
-
- 2015-06-12 00:00:00
- STATUS: ACTIVE
-
- 2018-01-17 00:00:00
- STATUS: INACTIVE
|
