ABARELIX 113MG/KIT INJ,SUSP,SA (16482)    VA PRODUCT (50.68)

Name Value
NAME ABARELIX 113MG/KIT INJ,SUSP,SA
VA GENERIC NAME ABARELIX
DOSAGE FORM INJ,SUSP,SA
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 113
INACTIVATION DATE 2009-09-17 00:00:00
UNITS MG
NATIONAL FORMULARY NAME ABARELIX INJ,SUSP,SA
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 ABARELIX 113MG/KIT SA SUSP INJ
VA PRODUCT IDENTIFIER A1198
TRANSMIT TO CMOP NO
VA DISPENSE UNIT KIT
MASTER ENTRY FOR VUID YES
VUID 4016845
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2009-09-17 00:00:00
    STATUS:   INACTIVE