| NAME |
CROMOLYN NA 100MG/5ML CONC,ORAL,5ML |
| VA GENERIC NAME |
CROMOLYN |
| DOSAGE FORM |
SOLN,CONC |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
100 |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| UNITS |
MG/5ML |
| NATIONAL FORMULARY NAME |
CROMOLYN SOLN,CONC |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2018-03-01 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
CROMOLYN NA 100MG/5ML ORAL CONC 5ML |
| VA PRODUCT IDENTIFIER |
C1848 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4037234 |
| EFFECTIVE DATE/TIME |
-
- 2018-01-19 00:00:00
- STATUS: ACTIVE
|
