| NAME |
NALOXONE HCL 4MG/SPRAY SOLN,SPRAY,NASAL |
| VA GENERIC NAME |
NALOXONE |
| DOSAGE FORM |
SOLN,SPRAY,NASAL |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
4 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| UNITS |
MG/SPRAY |
| NATIONAL FORMULARY NAME |
NALOXONE SOLN,SPRAY,NASAL |
| 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
- COPAY END DATE: 2017-03-31 00:00:00
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2017-04-01 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
NALOXONE HCL 4MG/SPRAY SOLN NASAL SPRAY |
| VA PRODUCT IDENTIFIER |
N0738 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4035184 |
| EFFECTIVE DATE/TIME |
-
- 2015-12-10 00:00:00
- STATUS: ACTIVE
|
