ROMIPLASTIM 500MCG/VIL INJ (19953)    VA PRODUCT (50.68)

Name Value
NAME ROMIPLASTIM 500MCG/VIL INJ
VA GENERIC NAME ROMIPLASTIM
DOSAGE FORM INJ,LYPHL
FDA MED GUIDE Romiplostim_(Nplate)_(2018).pdf
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 500
INACTIVATION DATE 2008-11-24 00:00:00
UNITS MCG/VIL
NATIONAL FORMULARY NAME ROMIPLASTIM INJ,LYPHL
CREATE DEFAULT POSSIBLE DOSAGE YES
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 ROMIPLASTIM 500MCG/VIL INJ
VA PRODUCT IDENTIFIER R0245
TRANSMIT TO CMOP NO
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID YES
VUID 4027890
EFFECTIVE DATE/TIME
  • 2008-09-12 00:00:00
    STATUS:   ACTIVE
  • 2008-11-24 00:00:00
    STATUS:   INACTIVE