ROMIDEPSIN 10MG/VIL INJ (21219)    VA PRODUCT (50.68)

Name Value
NAME ROMIDEPSIN 10MG/VIL INJ
VA GENERIC NAME ROMIDEPSIN
DOSAGE FORM INJ,LYPHL
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 10
SINGLE/MULTI SOURCE PRODUCT Single source
UNITS MG/VIAL
NATIONAL FORMULARY NAME ROMIDEPSIN INJ,LYPHL
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:   2018-02-28 00:00:00
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2018-03-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME ROMIDEPSIN 10MG/VIL INJ
VA PRODUCT IDENTIFIER R0272
TRANSMIT TO CMOP NO
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID YES
VUID 4029352
EFFECTIVE DATE/TIME
  • 2009-12-04 00:00:00
    STATUS:   ACTIVE
  • 2009-12-14 00:00:00
    STATUS:   INACTIVE
  • 2011-02-09 00:00:00
    STATUS:   ACTIVE