THIOTEPA (THIOPLEX) 15MG/VIL INJ (2182)    VA PRODUCT (50.68)

Name Value
NAME THIOTEPA (THIOPLEX) 15MG/VIL INJ
VA GENERIC NAME THIOTEPA
DOSAGE FORM INJ,LYPHL
FORMULARY DESIGNATOR PA-F
FORMULARY DESIGNATOR TEXT
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR YES
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 15
INACTIVATION DATE 2010-07-07 00:00:00
UNITS MG/VIAL
DSS NUMBER 2
NATIONAL FORMULARY NAME THIOTEPA 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 THIOTEPA (THIOPLEX) 15MG/VIL INJ
VA PRODUCT IDENTIFIER T0318
TRANSMIT TO CMOP NO
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID YES
VUID 4002765
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-26 00:00:00
    STATUS:   INACTIVE
  • 2007-10-10 00:00:00
    STATUS:   ACTIVE
  • 2010-07-07 00:00:00
    STATUS:   INACTIVE