TIROFIBAN HCL 50MCG/ML INJ,BAG,500ML (12854)    VA PRODUCT (50.68)

Name Value
NAME TIROFIBAN HCL 50MCG/ML INJ,BAG,500ML
VA GENERIC NAME TIROFIBAN
DOSAGE FORM INJ,SOLN
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 50
INACTIVATION DATE 2008-07-02 00:00:00
UNITS MCG/ML
DSS NUMBER 2
NATIONAL FORMULARY NAME TIROFIBAN INJ,SOLN
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 TIROFIBAN HCL 50MCG/ML INJ BAG 500ML
VA PRODUCT IDENTIFIER T0435
TRANSMIT TO CMOP NO
VA DISPENSE UNIT BAG
MASTER ENTRY FOR VUID YES
VUID 4013219
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-26 00:00:00
    STATUS:   INACTIVE
  • 2007-10-10 00:00:00
    STATUS:   ACTIVE
  • 2008-07-02 00:00:00
    STATUS:   INACTIVE