DESMOPRESSIN ACETATE 0.83MCG/SPRAY SOLN,NASAL SPRAY(REFRIGERATE) (28282)    VA PRODUCT (50.68)

Name Value
NAME DESMOPRESSIN ACETATE 0.83MCG/SPRAY SOLN,NASAL SPRAY(REFRIGERATE)
VA GENERIC NAME DESMOPRESSIN
DOSAGE FORM SOLN,SPRAY,NASAL
FDA MED GUIDE Desmopressin_(Noctiva)_(2017).PDF
FORMULARY DESIGNATOR PA-F
FORMULARY DESIGNATOR TEXT
Noctiva and Nocdurna our PA-F
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR YES
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 0.83
SINGLE/MULTI SOURCE PRODUCT Single source
UNITS MCG/SPRAY
NATIONAL FORMULARY NAME DESMOPRESSIN SOLN,SPRAY,NASAL
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2018-03-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DESMOPRESSIN 0.83MCG/SPRAY NASAL (FRIG)
VA PRODUCT IDENTIFIER D1179
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4037276
EFFECTIVE DATE/TIME
  • 2018-02-05 00:00:00
    STATUS:   ACTIVE