| NAME |
DINOPROSTONE 0.5MG/3GM APPLICATOR,VAG |
| VA GENERIC NAME |
DINOPROSTONE |
| DOSAGE FORM |
GEL |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
0.5 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| UNITS |
MG/3GM |
| DSS NUMBER |
4 |
| NATIONAL FORMULARY NAME |
DINOPROSTONE GEL |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
DINOPROSTONE 0.5MG/3GM VAG APPLICATOR |
| VA PRODUCT IDENTIFIER |
D0370 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4003523 |
| EFFECTIVE DATE/TIME |
-
- 2005-03-10 00:00:00
- STATUS: ACTIVE
|
