CARBOPLATIN 600MG/VIL INJ (16893)    VA PRODUCT (50.68)

Name Value
NAME CARBOPLATIN 600MG/VIL INJ
VA GENERIC NAME CARBOPLATIN
DOSAGE FORM INJ
HAZARDOUS TO DISPOSE NO
FORMULARY DESIGNATOR PA-F
FORMULARY DESIGNATOR TEXT
Restrict to Hematology/Oncology
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR YES
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 600
INACTIVATION DATE 2011-05-24 00:00:00
UNITS MG/VIAL
NATIONAL FORMULARY NAME CARBOPLATIN 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 CARBOPLATIN 600MG/VIL INJ
VA PRODUCT IDENTIFIER C1178
TRANSMIT TO CMOP NO
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID YES
VUID 4017256
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2009-05-20 00:00:00
    STATUS:   INACTIVE
  • 2011-06-06 00:00:00
    STATUS:   ACTIVE
  • 2011-05-24 00:00:00
    STATUS:   INACTIVE
  • 2011-06-06 00:00:00
    STATUS:   ACTIVE
  • 2011-05-24 00:00:00
    STATUS:   INACTIVE