| NAME |
ERGOTAMINE TARTRATE 0.36MG/SPRAY,ORAL |
| VA GENERIC NAME |
ERGOTAMINE |
| DOSAGE FORM |
INHALANT |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
0.36 |
| INACTIVATION DATE |
2005-11-16 00:00:00 |
| UNITS |
MG/SPRAY |
| DSS NUMBER |
2 |
| NATIONAL FORMULARY NAME |
ERGOTAMINE INHALANT |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
ERGOTAMINE TARTRATE 0.36MG/SPRAY ORAL |
| VA PRODUCT IDENTIFIER |
E0284 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
2.5ML BTL |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4005094 |
| EFFECTIVE DATE/TIME |
-
- 2005-03-10 00:00:00
- STATUS: ACTIVE
-
- 2005-11-16 00:00:00
- STATUS: INACTIVE
|
