CANAKINUMAB 180MG/VIL INJ (20745)    VA PRODUCT (50.68)

Name Value
NAME CANAKINUMAB 180MG/VIL INJ
VA GENERIC NAME CANAKINUMAB
DOSAGE FORM INJ,LYPHL
FDA MED GUIDE Canakinumab_(Ilaris)_(2016).pdf
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 180
SINGLE/MULTI SOURCE PRODUCT Single source
INACTIVATION DATE 2018-03-16 00:00:00
UNITS MG/VIAL
NATIONAL FORMULARY NAME CANAKINUMAB INJ,LYPHL
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
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 CANAKINUMAB 180MG/VIL INJ
VA PRODUCT IDENTIFIER C1382
TRANSMIT TO CMOP YES
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID YES
VUID 4028784
EFFECTIVE DATE/TIME
  • 2009-07-09 00:00:00
    STATUS:   ACTIVE
  • 2018-03-16 00:00:00
    STATUS:   INACTIVE