| NAME |
FENFLURAMINE 2.2MG/ML SOLN,ORAL |
| VA GENERIC NAME |
FENFLURAMINE |
| DOSAGE FORM |
SOLN,ORAL |
| FDA MED GUIDE |
Fenfluramine_(Fintepla)_(2022).pdf |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| STRENGTH |
2.2 |
| UNITS |
MG/ML |
| NATIONAL FORMULARY NAME |
FENFLURAMINE SOLN,ORAL |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2020-07-16 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
FENFLURAMINE 2.2MG/ML ORAL SOLN |
| VA PRODUCT IDENTIFIER |
F0696 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
ML |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4039529 |
| EFFECTIVE DATE/TIME |
-
- 2020-07-16 00:00:00
- STATUS: ACTIVE
|