| NAME |
DEFLAZACORT 22.75MG/ML SUSP |
| VA GENERIC NAME |
DEFLAZACORT |
| DOSAGE FORM |
SUSP |
| ACTIVE INGREDIENTS |
|
| STRENGTH |
22.75 |
| UNITS |
MG/ML |
| NATIONAL FORMULARY NAME |
DEFLAZACORT SUSP |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2017-04-01 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
DEFLAZACORT 22.75MG/ML SUSP |
| VA PRODUCT IDENTIFIER |
D1146 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
ML |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4036436 |
| EFFECTIVE DATE/TIME |
-
- 2017-02-23 00:00:00
- STATUS: ACTIVE
|
