| NAME |
TREPROSTINIL 64MCG/CARTRIDGE INHL,ORAL,28/KIT |
| VA GENERIC NAME |
TREPROSTINIL |
| DOSAGE FORM |
POWDER,INHL |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
64 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| UNITS |
MCG/CTR |
| NATIONAL FORMULARY NAME |
TREPROSTINIL POWDER,INHL |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2022-06-16 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
TREPROSTINIL 64MCG/CTG ORAL INHL,28 KIT |
| VA PRODUCT IDENTIFIER |
T1123 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4041519 |
| EFFECTIVE DATE/TIME |
-
- 2022-06-16 00:00:00
- STATUS: ACTIVE
|
