| NAME |
HYLAN G-F20 48MG/6ML INJ,SYRINGE,6ML |
| VA GENERIC NAME |
HYLAN G-F 20 |
| DOSAGE FORM |
INJ |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
48 |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| UNITS |
MG/6ML |
| NATIONAL FORMULARY NAME |
HYLAN G-F 20 INJ |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
HYLAN G-F20 48MG/6ML INJ SYRINGE 6ML |
| VA PRODUCT IDENTIFIER |
H0557 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
SYR |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4028692 |
| EFFECTIVE DATE/TIME |
-
- 2009-06-10 00:00:00
- STATUS: ACTIVE
|
