VELAGLUCERASE ALFA 200UNIT/VIL INJ,2ML (21567)    VA PRODUCT (50.68)

Name Value
NAME VELAGLUCERASE ALFA 200UNIT/VIL INJ,2ML
VA GENERIC NAME VELAGLUCERASE ALFA
DOSAGE FORM INJ,LYPHL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 200
INACTIVATION DATE 2012-06-21 00:00:00
UNITS UNIT/VIL
NATIONAL FORMULARY NAME VELAGLUCERASE ALFA 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 VELAGLUCERASE ALFA 200UNIT/VIL INJ 2ML
VA PRODUCT IDENTIFIER V0200
TRANSMIT TO CMOP NO
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID YES
VUID 4029729
EFFECTIVE DATE/TIME
  • 2010-04-12 00:00:00
    STATUS:   ACTIVE
  • 2012-06-21 00:00:00
    STATUS:   INACTIVE