| NAME |
DEXAMETHASONE 9% SUSP,INTRAOCULAR,KIT |
| VA GENERIC NAME |
DEXAMETHASONE |
| DOSAGE FORM |
SUSP,IO |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
9 |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| UNITS |
% |
| NATIONAL FORMULARY NAME |
DEXAMETHASONE SUSP,IO |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| 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 |
DEXAMETHASONE 9% INTRAOCULAR SUSP KIT |
| VA PRODUCT IDENTIFIER |
D1184 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
KIT |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4037567 |
| EFFECTIVE DATE/TIME |
-
- 2018-05-25 00:00:00
- STATUS: ACTIVE
-
- 2018-05-25 00:00:00
- STATUS: ACTIVE
|
