CARFILZOMIB 60MG/VIL INJ (23196)    VA PRODUCT (50.68)

Name Value
NAME CARFILZOMIB 60MG/VIL INJ
VA GENERIC NAME CARFILZOMIB
DOSAGE FORM INJ
HAZARDOUS TO DISPOSE NO
FORMULARY DESIGNATOR PA-F
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR YES
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 60
SINGLE/MULTI SOURCE PRODUCT Single source
UNITS MG/VIAL
NATIONAL FORMULARY NAME CARFILZOMIB 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 CARFILZOMIB 60MG/VIL INJ
VA PRODUCT IDENTIFIER C1520
TRANSMIT TO CMOP YES
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID YES
VUID 4031621
EFFECTIVE DATE/TIME
  • 2012-09-10 00:00:00
    STATUS:   ACTIVE