| NAME |
MOMETASONE FUROATE 50MCG/ACTUAT INHL,ORAL,120D,13GM |
| VA GENERIC NAME |
MOMETASONE |
| DOSAGE FORM |
INHL,ORAL |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
50 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| UNITS |
MCG/ACTUAT |
| NATIONAL FORMULARY NAME |
MOMETASONE INHL,ORAL |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2020-02-06 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
MOMETASONE 50MCG/ACTUAT 120D ORAL INHL |
| VA PRODUCT IDENTIFIER |
M1230 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4039125 |
| EFFECTIVE DATE/TIME |
-
- 2020-02-06 00:00:00
- STATUS: ACTIVE
|
