| NAME |
PRAMLINTIDE ACETATE 1,000MCG/ML INJ,SOLN PEN 3ML |
| VA GENERIC NAME |
PRAMLINTIDE |
| DOSAGE FORM |
INJ,SOLN |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
1000 |
| INACTIVATION DATE |
2010-07-15 00:00:00 |
| UNITS |
MCG/ML |
| NATIONAL FORMULARY NAME |
PRAMLINTIDE INJ,SOLN |
| 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 |
PRAMLINTIDE 1,000MCG/ML INJ PEN 3ML |
| VA PRODUCT IDENTIFIER |
P0864 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
SYR |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4026962 |
| EFFECTIVE DATE/TIME |
-
- 2007-12-20 00:00:00
- STATUS: ACTIVE
-
- 2010-07-15 00:00:00
- STATUS: INACTIVE
|
