BOCEPREVIR 200MG CAP (22437)    VA PRODUCT (50.68)

Name Value
NAME BOCEPREVIR 200MG CAP
VA GENERIC NAME BOCEPREVIR
DOSAGE FORM CAP,ORAL
FDA MED GUIDE Boceprevir_(Victrelis)_(2014).pdf
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 200
SINGLE/MULTI SOURCE PRODUCT Single source
INACTIVATION DATE 2016-01-26 00:00:00
UNITS MG
NATIONAL FORMULARY NAME BOCEPREVIR CAP,ORAL
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
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 BOCEPREVIR 200MG CAP
VA PRODUCT IDENTIFIER B0665
TRANSMIT TO CMOP NO
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4030715
EFFECTIVE DATE/TIME
  • 2011-06-06 00:00:00
    STATUS:   ACTIVE