DROTRECOGIN ALFA (ACTIVATED) 5MG/VIL INJ (15432) VA PRODUCT (50.68)

Name	Value
NAME	DROTRECOGIN ALFA (ACTIVATED) 5MG/VIL INJ
VA GENERIC NAME	DROTRECOGIN ALFA
DOSAGE FORM	INJ,PWDR
ACTIVE INGREDIENTS	DROTRECOGIN ALFA (ACTIVATED) STRENGTH: 5 UNITS: MG/VIAL
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	DROTRECOGIN ALFA INJ,PWDR
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	DROTRECOGIN ALFA (ACTIVATED) 5MG/VIL INJ
VA PRODUCT IDENTIFIER	D0560
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	VI
MASTER ENTRY FOR VUID	YES
VUID	4015795
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE