ANTIHEMOPHILIC FACTOR 250UNT/VON WILLEBRAND FACTOR 100UNT INJ (19157) VA PRODUCT (50.68)

Name	Value
NAME	ANTIHEMOPHILIC FACTOR 250UNT/VON WILLEBRAND FACTOR 100UNT INJ
VA GENERIC NAME	ANTIHEMOPHILIC FACTOR,HUMAN/VON WILLEBRAND FACTOR
DOSAGE FORM	INJ,LYPHL
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	ANTIHEMOPHILIC FACTOR,HUMAN STRENGTH: 250 UNITS: UNT/VIL VON WILLEBRAND FACTOR STRENGTH: 100 UNITS: UNT/VIL
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	ANTIHEMOPHILIC FACTOR,HUMAN/VON WILLEBRAND FACTOR INJ,LYPHL
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 0 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	AHF 250 UNIT/VWF 100 UNIT/VIL INJ
VA PRODUCT IDENTIFIER	A1633
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	VI
MASTER ENTRY FOR VUID	YES
VUID	4027005
EFFECTIVE DATE/TIME	2008-02-05 00:00:00 STATUS: ACTIVE