LOXILAN 350mgI/ml INJ (12781)    VA PRODUCT (50.68)

Name Value
NAME LOXILAN 350mgI/ml INJ
VA GENERIC NAME LOXILAN
DOSAGE FORM INJ
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 350
INACTIVATION DATE 1999-01-22 00:00:00
UNITS MGI/ML
DSS NUMBER 2
NATIONAL FORMULARY NAME LOXILAN INJ
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME LOXILAN 350mgI/ml INJ
VA PRODUCT IDENTIFIER L0197
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4013146
EFFECTIVE DATE/TIME
  • 1999-01-22 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE