| NAME |
GADOBENOATE DIMEGLUMINE 529MG/ML INJ,SOLN |
| VA GENERIC NAME |
GADOBENOATE |
| DOSAGE FORM |
INJ,SOLN |
| FDA MED GUIDE |
Gadobenate_dimeglumine_(Multihance)_(Apr_2018).pdf |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
529 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| INACTIVATION DATE |
2013-10-11 00:00:00 |
| UNITS |
MG/ML |
| NATIONAL FORMULARY NAME |
GADOBENOATE INJ,SOLN |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
GADOBENOATE DIMEGLUMINE 529MG/ML SOLN |
| VA PRODUCT IDENTIFIER |
G0255 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
ML |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4017400 |
| EFFECTIVE DATE/TIME |
-
- 2005-03-10 00:00:00
- STATUS: ACTIVE
|
