VALRUBICIN 40MG/ML SOLN,INTRAVESICAL (13029)    VA PRODUCT (50.68)

Name Value
NAME VALRUBICIN 40MG/ML SOLN,INTRAVESICAL
VA GENERIC NAME VALRUBICIN
DOSAGE FORM SOLN,INTRAVESICAL
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
SECONDARY VA DRUG CLASS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 40
SINGLE/MULTI SOURCE PRODUCT Single source
UNITS MG/ML
NATIONAL FORMULARY NAME VALRUBICIN SOLN,INTRAVESICAL
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
    COPAY END DATE:   2019-05-01 00:00:00
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2019-05-02 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME VALRUBICIN 40MG/ML INTRAVESICAL SOLN
VA PRODUCT IDENTIFIER V0089
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4013394
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-21 00:00:00
    STATUS:   INACTIVE
  • 2010-05-12 00:00:00
    STATUS:   ACTIVE