| NAME |
EXENATIDE 250MCG/ML (5MCG/DOSE) 1.2ML 60D PEN |
| VA GENERIC NAME |
EXENATIDE |
| DOSAGE FORM |
INJ,SOLN |
| FDA MED GUIDE |
Exenatide_(Byetta)_(2022).pdf |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
250 |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| UNITS |
MCG/ML |
| NATIONAL FORMULARY NAME |
EXENATIDE INJ,SOLN |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
EXENATIDE 5MCG/DOSE 1.2ML 60D PEN |
| VA PRODUCT IDENTIFIER |
E0417 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
SYR |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4024670 |
| EFFECTIVE DATE/TIME |
-
- 2006-01-24 00:00:00
- STATUS: ACTIVE
|
