FLUTICASONE PROPIONATE 50MCG/SPRAY SOLN,NASAL,9GM (9731)    VA PRODUCT (50.68)

Name Value
NAME FLUTICASONE PROPIONATE 50MCG/SPRAY SOLN,NASAL,9GM
VA GENERIC NAME FLUTICASONE
DOSAGE FORM SOLN,NASAL
FORMULARY DESIGNATOR TEXT 
VISN's may prefer one formulary nasal steroid over another (Only Propionate Salts are formulary)
ACTIVE INGREDIENTS
NATIONAL FORMULARY RESTRICTION 
Class review in progress
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 50
INACTIVATION DATE 2003-01-03 00:00:00
UNITS MCG/SPRAY
DSS NUMBER 3
NATIONAL FORMULARY NAME FLUTICASONE SOLN,NASAL
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME FLUTICASONE PROP 50MCG 60D NASAL INHL
VA PRODUCT IDENTIFIER F0128
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4010140
EFFECTIVE DATE/TIME
  • 2003-01-03 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE