| NAME |
CYCLOSPORINE 0.1% EMULSION,OPH,0.3ML |
| VA GENERIC NAME |
CYCLOSPORINE |
| DOSAGE FORM |
EMULSION,OPH |
| HAZARDOUS TO DISPOSE |
NO |
| FORMULARY DESIGNATOR TEXT |
Restricted to ophthalmology and optometry
|
| ACTIVE INGREDIENTS |
|
| NATIONAL FORMULARY INDICATOR |
NO |
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
0.1 |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| UNITS |
% |
| NATIONAL FORMULARY NAME |
CYCLOSPORINE EMULSION,OPH |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2022-04-14 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
CYCLOSPORINE 0.1% OPH EMUL 0.3ML |
| VA PRODUCT IDENTIFIER |
C2034 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4041335 |
| EFFECTIVE DATE/TIME |
-
- 2022-04-14 00:00:00
- STATUS: ACTIVE
|
