| NAME |
INSULIN,HUMAN 4 UNIT/8 UNIT/12 UNIT INHL,ORAL,TITRATION,KIT,180 |
| VA GENERIC NAME |
INSULIN |
| DOSAGE FORM |
INHL,ORAL |
| FDA MED GUIDE |
Insulin_Inhalation_(Afrezza)_(2023).pdf |
| ACTIVE INGREDIENTS |
|
| NATIONAL FORMULARY NAME |
INSULIN 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 |
INSULIN TITRATION ORAL INHL KIT 180 |
| VA PRODUCT IDENTIFIER |
I0623 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
KIT |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4036354 |
| EFFECTIVE DATE/TIME |
-
- 2017-01-13 00:00:00
- STATUS: ACTIVE
|
