FOSAPREPITANT DIMEGLUMINE 115MG/VIL INJ (19373)    VA PRODUCT (50.68)

Name Value
NAME FOSAPREPITANT DIMEGLUMINE 115MG/VIL INJ
VA GENERIC NAME FOSAPREPITANT
DOSAGE FORM INJ,LYPHL
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 115
SINGLE/MULTI SOURCE PRODUCT Single source
UNITS MG/VIAL
NATIONAL FORMULARY NAME FOSAPREPITANT INJ,LYPHL
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
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 FOSAPREPITANT DIMEGLUMINE 115MG/VIL INJ
VA PRODUCT IDENTIFIER F0407
TRANSMIT TO CMOP YES
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID YES
VUID 4027233
EFFECTIVE DATE/TIME
  • 2008-03-07 00:00:00
    STATUS:   ACTIVE