SOMATROPIN (NORDITROPIN) 10MG/1.5ML INJ,SOLN,FLEXPRO,1.5ML (22761) VA PRODUCT (50.68)

Name	Value
NAME	SOMATROPIN (NORDITROPIN) 10MG/1.5ML INJ,SOLN,FLEXPRO,1.5ML
VA GENERIC NAME	SOMATROPIN
DOSAGE FORM	INJ
ACTIVE INGREDIENTS	SOMATROPIN (RECOMBINANT DNA ORIGIN) STRENGTH: 10 UNITS: MG/1.5ML
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	10
SINGLE/MULTI SOURCE PRODUCT	Single source
UNITS	MG/1.5ML
NATIONAL FORMULARY NAME	SOMATROPIN INJ
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 3 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	SOMATROPIN 10MG FLEXPRO 1.5ML
VA PRODUCT IDENTIFIER	S0675
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	SYR
MASTER ENTRY FOR VUID	YES
VUID	4031119
EFFECTIVE DATE/TIME	2011-12-09 00:00:00 STATUS: ACTIVE