| NAME |
BECLOMETHASONE DIPROPIONATE 40MCG/ACTUAT (HFA) INHL,ORAL,10.6GM |
| VA GENERIC NAME |
BECLOMETHASONE DIPROPIONATE |
| DOSAGE FORM |
INHL,ORAL |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
40 |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| UNITS |
MCG/ACTUAT |
| NATIONAL FORMULARY NAME |
BECLOMETHASONE DIPROPIONATE INHL,ORAL |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2018-06-01 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
BECLOMETH 40MCG 120D BREATH ACTVTD INHL |
| VA PRODUCT IDENTIFIER |
B0863 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4037462 |
| EFFECTIVE DATE/TIME |
-
- 2018-04-17 00:00:00
- STATUS: ACTIVE
|
