| NAME |
ZICONOTIDE 100MCG/ML (PF) INJ,INTRATHECAL,1ML |
| VA GENERIC NAME |
ZICONOTIDE |
| DOSAGE FORM |
INJ,SOLN |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
100 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| UNITS |
MCG/ML |
| NATIONAL FORMULARY NAME |
ZICONOTIDE 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 |
ZICONOTIDE 100MCG/ML INJ INTRATHECAL 1ML |
| VA PRODUCT IDENTIFIER |
Z0062 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
VI |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4024558 |
| EFFECTIVE DATE/TIME |
-
- 2006-01-24 00:00:00
- STATUS: ACTIVE
|
