PEGAPTANIB NA 0.3MG/0.09ML INTRAOCULAR SOLN,SYR (17186)    VA PRODUCT (50.68)

Name Value
NAME PEGAPTANIB NA 0.3MG/0.09ML INTRAOCULAR SOLN,SYR
VA GENERIC NAME PEGAPTANIB
DOSAGE FORM INJ,SOLN
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 0.3
SINGLE/MULTI SOURCE PRODUCT Single source
INACTIVATION DATE 2020-12-15 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:   3
    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 P0727
TRANSMIT TO CMOP NO
VA DISPENSE UNIT SYR
MASTER ENTRY FOR VUID YES
VUID 4024618
EFFECTIVE DATE/TIME
  • 2006-01-24 00:00:00
    STATUS:   ACTIVE
  • 2007-09-27 00:00:00
    STATUS:   INACTIVE
  • 2007-10-10 00:00:00
    STATUS:   ACTIVE
  • 2020-12-15 00:00:00
    STATUS:   INACTIVE
  • 2020-12-15 00:00:00
    STATUS:   INACTIVE
  • 2020-12-15 00:00:00
    STATUS:   INACTIVE