CYTARABINE LIPOSOME 10MG/ML,INJ,VIL,5ML (13876)    VA PRODUCT (50.68)

Name Value
NAME CYTARABINE LIPOSOME 10MG/ML,INJ,VIL,5ML
VA GENERIC NAME CYTARABINE
DOSAGE FORM INJ
HAZARDOUS TO DISPOSE NO
FORMULARY DESIGNATOR PA-F
FORMULARY DESIGNATOR TEXT 
Restrict to Hematology/Oncology
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR NO
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 10
SINGLE/MULTI SOURCE PRODUCT Single source
INACTIVATION DATE 2018-01-17 00:00:00
UNITS MG/ML
NATIONAL FORMULARY NAME CYTARABINE INJ
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME CYTARABINE LIPOSOME 10MG/ML INJ VIL 5ML
VA PRODUCT IDENTIFIER C0945
TRANSMIT TO CMOP YES
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID YES
VUID 4014240
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2018-01-17 00:00:00
    STATUS:   INACTIVE