| NAME |
FLUOCINOLONE 0.18MG IMPLANT,OPH |
| VA GENERIC NAME |
FLUOCINOLONE |
| DOSAGE FORM |
IMPLANT |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
0.18 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| UNITS |
MG |
| NATIONAL FORMULARY NAME |
FLUOCINOLONE IMPLANT |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2019-01-04 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
FLUOCINOLONE 0.18MG OPH IMPLANT |
| VA PRODUCT IDENTIFIER |
F0672 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4038095 |
| EFFECTIVE DATE/TIME |
-
- 2019-01-07 00:00:00
- STATUS: ACTIVE
|
