| NAME |
EPISIL SPRAY,ORAL |
| VA GENERIC NAME |
EPISIL |
| DOSAGE FORM |
SPRAY,ORAL |
| HAZARDOUS TO DISPOSE |
NO |
| CS FEDERAL SCHEDULE |
Unscheduled |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| NATIONAL FORMULARY NAME |
EPISIL SPRAY,ORAL |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2021-02-19 00:00:00
- COPAY END DATE: 2023-04-19 00:00:00
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2023-04-20 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
EPISIL ORAL SPRAY |
| VA PRODUCT IDENTIFIER |
E0827 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
ML |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4040062 |
| EFFECTIVE DATE/TIME |
-
- 2021-02-19 00:00:00
- STATUS: ACTIVE
-
- 2021-02-19 00:00:00
- STATUS: ACTIVE
-
- 2021-02-19 00:00:00
- STATUS: ACTIVE
|
