This product is on the VA national formulary and may be prescribed for dispensing from a VA Pharmacy.
This product is on the VA national formulary and has standardized restrictions such as being limited to a defined subspecialty of prescribers.
See product detail page for additional information.
This product is on the VA national formulary and may have prior authorization requirements that are managed at the local facility level.
See product detail page for CFU requirements or contact your local VA pharmacy for additional instruction on obtaining a prior authorization for this medication.
This product is on the VA national formulary and may have prior authorization requirements that are managed at the VISN (regional) level.
See product detail page for CFU requirements or contact your local VA pharmacy for additional instruction on obtaining a prior authorization for this medication.
This product is on the VA national formulary and may have prior authorization requirements that are managed at the national level.
See product detail page for CFU requirements or contact your local VA pharmacy for additional instruction on obtaining a prior authorization for this medication.
This product is not on the VA national formulary and requires a non-formulary drug request and prior approval to be dispensed.
Other formulary alternatives should be considered when clinically appropriate.
This indicator in results lists is synonymous with the term 'U/E Formulary' and indicates that a drug is on the VA Urgent/Emergent formulary listing.
The U/E indicator with asterisk indicates that a drug is on the VA Urgent/Emergent formulary listing with limitations. Open drug detail to see specifics of these limitations.
This term refers to specific inclusion and exclusion criteria and other clinical requirements for use of a given medication.
This term refers to each of the 18 regional networks of VA facilities.
This term refers to the status of a drug on the VA Urgent/Emergent formulary listing. Items on the Urgent/Emergent formulary may be filled at outside pharmacies in some instances under specific provisions for Community Care.
Refer to https://www.va.gov/communitycare for additional information on the requirements and limitations associated with this benefit.