TOSITUMOMAB IODINE-131 0.61MCI/ML INJ (16360)    VA PRODUCT (50.68)

Name Value
NAME TOSITUMOMAB IODINE-131 0.61MCI/ML INJ
VA GENERIC NAME TOSITUMOMAB IODINE-131
DOSAGE FORM INJ,SOLN
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Single source
INACTIVATION DATE 2016-04-13 00:00:00
NATIONAL FORMULARY NAME TOSITUMOMAB IODINE-131 INJ,SOLN
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 TOSITUMOMAB IODINE-131 0.61MCI/ML INJ
VA PRODUCT IDENTIFIER T0566
TRANSMIT TO CMOP NO
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID YES
VUID 4016723
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE