CYCLOSPORINE MODIFIED 100MG/ML SOLN,ORAL (17375)    VA PRODUCT (50.68)

Name Value
NAME CYCLOSPORINE MODIFIED 100MG/ML SOLN,ORAL
VA GENERIC NAME CYCLOSPORINE
DOSAGE FORM SOLN,ORAL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 100
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MG/ML
NATIONAL FORMULARY NAME CYCLOSPORINE SOLN,ORAL
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 CYCLOSPORINE MODIFIED 100MG/ML ORAL SOLN
VA PRODUCT IDENTIFIER C1221
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4024807
EFFECTIVE DATE/TIME
  • 2006-01-24 00:00:00
    STATUS:   ACTIVE