| NAME |
GLYCOPYRROLATE 25MCG/ML SOLN,INHL 2 VIAL PKT |
| VA GENERIC NAME |
GLYCOPYRROLATE |
| DOSAGE FORM |
SOLN,INHL |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
25 |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| UNITS |
MCG/ML |
| NATIONAL FORMULARY NAME |
GLYCOPYRROLATE SOLN,INHL |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2018-04-01 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
GLYCOPYRROLATE 25MCG/ML INHL 2 VIAL PKT |
| VA PRODUCT IDENTIFIER |
G0452 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
PKT |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4037358 |
| EFFECTIVE DATE/TIME |
-
- 2018-03-05 00:00:00
- STATUS: ACTIVE
|
