DENOSUMAB 60MG/ML INJ (21871)    VA PRODUCT (50.68)

Name Value
NAME DENOSUMAB 60MG/ML INJ
VA GENERIC NAME DENOSUMAB
DOSAGE FORM INJ,SOLN
FDA MED GUIDE Denosumab_(Prolia)_(2022).pdf
FORMULARY DESIGNATOR PA-F
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR YES
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 60
INACTIVATION DATE 2011-05-26 00:00:00
UNITS MG/ML
NATIONAL FORMULARY NAME DENOSUMAB INJ,SOLN
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 DENOSUMAB 60MG/ML INJ
VA PRODUCT IDENTIFIER D0886
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4030070
EFFECTIVE DATE/TIME
  • 2010-09-08 00:00:00
    STATUS:   ACTIVE
  • 2011-05-26 00:00:00
    STATUS:   INACTIVE
  • 2011-05-26 00:00:00
    STATUS:   INACTIVE