OCTREOTIDE SA DEMONSTRATION KIT INJ (13199)    VA PRODUCT (50.68)

Name Value
NAME OCTREOTIDE SA DEMONSTRATION KIT INJ
VA GENERIC NAME OCTREOTIDE
DOSAGE FORM INJ,SUSP,SA
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Single source
INACTIVATION DATE 1999-03-07 00:00:00
NATIONAL FORMULARY NAME OCTREOTIDE INJ,SUSP,SA
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 OCTREOTIDE SA DEMONSTRATION KIT INJ
VA PRODUCT IDENTIFIER O0103
TRANSMIT TO CMOP NO
VA DISPENSE UNIT KIT
MASTER ENTRY FOR VUID YES
VUID 4013564
EFFECTIVE DATE/TIME
  • 1999-03-07 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE