SOMATROPIN 15MG/1.5ML INJ,SOLN,CARTRIDGE (15912) VA PRODUCT (50.68)

Name	Value
NAME	SOMATROPIN 15MG/1.5ML INJ,SOLN,CARTRIDGE
VA GENERIC NAME	SOMATROPIN
DOSAGE FORM	INJ
ACTIVE INGREDIENTS	SOMATROPIN (RECOMBINANT DNA ORIGIN) STRENGTH: 15 UNITS: MG/1.5ML
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	15
SINGLE/MULTI SOURCE PRODUCT	Single source
UNITS	MG/1.5ML
NATIONAL FORMULARY NAME	SOMATROPIN INJ
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	SOMATROPIN 15MG/1.5ML INJ SOLN CARTRIDGE
VA PRODUCT IDENTIFIER	S0401
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	EA
MASTER ENTRY FOR VUID	YES
VUID	4016275
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE