| NAME |
TRIPTORELIN PAMOATE 11.25MG/VIL INJ |
| VA GENERIC NAME |
TRIPTORELIN |
| DOSAGE FORM |
INJ,SUSP,SA |
| FDA MED GUIDE |
Triptorelin_(Triptodur)_(Dec_2022).pdf |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
11.25 |
| INACTIVATION DATE |
2003-08-28 00:00:00 |
| UNITS |
MG/VIAL |
| NATIONAL FORMULARY NAME |
TRIPTORELIN INJ,SUSP,SA |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
TRIPTORELIN PAMOATE 11.25MG/VIL INJ |
| VA PRODUCT IDENTIFIER |
T0562 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
VI |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4016719 |
| EFFECTIVE DATE/TIME |
-
- 2003-08-28 00:00:00
- STATUS: INACTIVE
-
- 2005-12-08 00:00:00
- STATUS: INACTIVE
|
