REGADENOSON 0.4MG/5ML INJ,SYRINGE 5ML (19513)    VA PRODUCT (50.68)

Name Value
NAME REGADENOSON 0.4MG/5ML INJ,SYRINGE 5ML
VA GENERIC NAME REGADENOSON
DOSAGE FORM INJ,SOLN
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 0.4
SINGLE/MULTI SOURCE PRODUCT Single source
UNITS MG/5ML
NATIONAL FORMULARY NAME REGADENOSON INJ,SOLN
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
    COPAY END DATE:   2023-03-08 00:00:00
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2023-03-09 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME REGADENOSON 0.4MG/5ML INJ SYRINGE 5ML
VA PRODUCT IDENTIFIER R0240
TRANSMIT TO CMOP NO
VA DISPENSE UNIT SYR
MASTER ENTRY FOR VUID YES
VUID 4027407
EFFECTIVE DATE/TIME
  • 2008-05-15 00:00:00
    STATUS:   ACTIVE