| NAME |
DIHYDROERGOTAMINE MESYLATE(EQV-TRUDHESA) 4MG/ML SOLN,NASAL,SPRAY |
| VA GENERIC NAME |
DIHYDROERGOTAMINE |
| DOSAGE FORM |
SOLN,NASAL |
| FDA MED GUIDE |
Dihydroergotamine_(Trudhesa)_(2021).pdf |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
4 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| UNITS |
MG/ML |
| NATIONAL FORMULARY NAME |
DIHYDROERGOTAMINE SOLN,NASAL |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2022-04-28 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
DIHYDROERGOT (EQV-TRUDHESA) 4MG/ML NASAL |
| VA PRODUCT IDENTIFIER |
D1284 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
ML |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4041372 |
| EFFECTIVE DATE/TIME |
-
- 2022-04-28 00:00:00
- STATUS: ACTIVE
|
