FACTOR VIII 450UNIT/VON WILLEBRAND 450UNIT INJ,PWDR,5ML (21521) VA PRODUCT (50.68)

Name	Value
NAME	FACTOR VIII 450UNIT/VON WILLEBRAND 450UNIT INJ,PWDR,5ML
VA GENERIC NAME	FACTOR VIII/VON WILLEBRAND
DOSAGE FORM	INJ,PWDR
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	VON WILLEBRAND FACTOR STRENGTH: 450 UNITS: UNIT/VIL FACTOR VIII STRENGTH: 450 UNITS: UNIT/VIL
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
INACTIVATION DATE	2020-07-15 00:00:00
NATIONAL FORMULARY NAME	FACTOR VIII/VON WILLEBRAND INJ,PWDR
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 0 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	WILATE 450UNIT PWDR INJ 5ML
VA PRODUCT IDENTIFIER	V0197
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	VI
MASTER ENTRY FOR VUID	YES
VUID	4029675
EFFECTIVE DATE/TIME	2010-03-09 00:00:00 STATUS: ACTIVE 2020-07-15 00:00:00 STATUS: INACTIVE