FULVESTRANT 50MG/ML INJ,SYRINGE,2.5ML (15890)    VA PRODUCT (50.68)

Name Value
NAME FULVESTRANT 50MG/ML INJ,SYRINGE,2.5ML
VA GENERIC NAME FULVESTRANT
DOSAGE FORM INJ,SOLN
HAZARDOUS TO DISPOSE NO
FORMULARY DESIGNATOR PA-F
FORMULARY DESIGNATOR TEXT 
Restriction to Hematology/Oncology
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR YES
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 50
INACTIVATION DATE 2011-12-07 00:00:00
UNITS MG/ML
NATIONAL FORMULARY NAME FLUVESTRANT INJ,SOLN
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
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 FULVESTRANT 50MG/ML INJ SYRINGE 2.5ML
VA PRODUCT IDENTIFIER F0309
TRANSMIT TO CMOP YES
VA DISPENSE UNIT SYR
MASTER ENTRY FOR VUID YES
VUID 4016253
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2011-12-07 00:00:00
    STATUS:   INACTIVE
  • 2011-12-07 00:00:00
    STATUS:   INACTIVE