PEGVISOMANT PROTEIN 10MG/VIL INJ (16252)    VA PRODUCT (50.68)

Name Value
NAME PEGVISOMANT PROTEIN 10MG/VIL INJ
VA GENERIC NAME PEGVISOMANT
DOSAGE FORM INJ,PWDR
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 10
SINGLE/MULTI SOURCE PRODUCT Single source
UNITS MG/VIAL
NATIONAL FORMULARY NAME PEGVISOMANT INJ,PWDR
CREATE DEFAULT POSSIBLE DOSAGE YES
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 PEGVISOMANT PROTEIN 10MG/VIL INJ
VA PRODUCT IDENTIFIER P0663
TRANSMIT TO CMOP NO
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID YES
VUID 4016615
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2018-01-17 00:00:00
    STATUS:   INACTIVE
  • 2018-11-15 00:00:00
    STATUS:   ACTIVE