| NAME |
SUMATRIPTAN 11MG/ACTUATION INH,NASAL,KIT,8 |
| VA GENERIC NAME |
SUMATRIPTAN |
| DOSAGE FORM |
INHL,NASAL |
| ACTIVE INGREDIENTS |
|
| NATIONAL FORMULARY INDICATOR |
NO |
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
11 |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| UNITS |
MG/ACTUAT |
| NATIONAL FORMULARY NAME |
SUMATRIPTAN INHL,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
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
SUMATRIPTAN 11MG/ACTUAT NASAL INH KIT,8 |
| VA PRODUCT IDENTIFIER |
S0807 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
KIT |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4035657 |
| EFFECTIVE DATE/TIME |
-
- 2016-04-29 00:00:00
- STATUS: ACTIVE
|
