| NAME |
LATANOPROST 0.005% EMULSION,OPH |
| VA GENERIC NAME |
LATANOPROST |
| DOSAGE FORM |
EMULSION,OPH |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
0.005 |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| UNITS |
% |
| NATIONAL FORMULARY NAME |
LATANOPROST EMULSION,OPH |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2018-11-15 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
LATANOPROST 0.005% OPH EMULSION |
| VA PRODUCT IDENTIFIER |
L0770 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
ML |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4037991 |
| EFFECTIVE DATE/TIME |
-
- 2018-11-19 00:00:00
- STATUS: ACTIVE
|
