PEGAPTANIB NA 0.3MG/0.09ML INTRACOCULAR SOLN,SYR (17130)    VA PRODUCT (50.68)

Name Value
NAME PEGAPTANIB NA 0.3MG/0.09ML INTRACOCULAR SOLN,SYR
VA GENERIC NAME PEGAPTANIB
DOSAGE FORM INJ,SOLN
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 0.3
INACTIVATION DATE 2005-03-15 00:00:00
UNITS MG/0.09ML
NATIONAL FORMULARY NAME PEGAPTANIB 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 PEGAPTANIB 0.3MG/0.09ML INTRAOCULAR SYR
VA PRODUCT IDENTIFIER P0721
TRANSMIT TO CMOP NO
VA DISPENSE UNIT SYR
MASTER ENTRY FOR VUID YES
VUID 4024562
EFFECTIVE DATE/TIME
  • 2005-03-15 00:00:00
    STATUS:   INACTIVE
  • 2005-03-15 00:00:00
    STATUS:   INACTIVE