| NAME |
SOMATROPIN 13.8MG/VIL INJ,SOLN,CARTRIDGE |
| VA GENERIC NAME |
SOMATROPIN |
| DOSAGE FORM |
INJ |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
13.8 |
| INACTIVATION DATE |
2008-09-02 00:00:00 |
| UNITS |
MG |
| NATIONAL FORMULARY NAME |
SOMATROPIN INJ |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
SOMATROPIN 13.8MG/VIL SOLN INJ CARTRIDGE |
| VA PRODUCT IDENTIFIER |
S0467 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4025562 |
| EFFECTIVE DATE/TIME |
-
- 2006-09-05 00:00:00
- STATUS: ACTIVE
-
- 2008-09-02 00:00:00
- STATUS: INACTIVE
|
