| NAME |
TIOTROPIUM 1.25MCG/ACTUAT INHL,ORAL,60D,4GM |
| VA GENERIC NAME |
TIOTROPIUM |
| DOSAGE FORM |
INHL,ORAL |
| FORMULARY DESIGNATOR TEXT |
Sites can use any formulation
|
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
1.25 |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| UNITS |
MCG/ACTUAT |
| NATIONAL FORMULARY NAME |
TIOTROPIUM INHL,ORAL |
| 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 |
TIOTROPIUM 1.25MCG/ACTUAT 60D ORAL INHL |
| VA PRODUCT IDENTIFIER |
T0907 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4034890 |
| EFFECTIVE DATE/TIME |
-
- 2015-10-20 00:00:00
- STATUS: ACTIVE
|
