SOMATROPIN (GENOTROPIN) 1.2MG/VIL INJ,MINIQUICK (19309) VA PRODUCT (50.68)

Name	Value
NAME	SOMATROPIN (GENOTROPIN) 1.2MG/VIL INJ,MINIQUICK
VA GENERIC NAME	SOMATROPIN
DOSAGE FORM	INJ
ACTIVE INGREDIENTS	SOMATROPIN (RECOMBINANT DNA ORIGIN) STRENGTH: 1.2 UNITS: MG/VIAL
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	1.2
SINGLE/MULTI SOURCE PRODUCT	Single source
UNITS	MG/VIAL
NATIONAL FORMULARY NAME	SOMATROPIN INJ
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 3 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	SOMATROPIN (GENOTROPIN) 1.2MG MINIQUICK
VA PRODUCT IDENTIFIER	S0561
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	VI
MASTER ENTRY FOR VUID	YES
VUID	4027157
EFFECTIVE DATE/TIME	2008-02-05 00:00:00 STATUS: ACTIVE