| NAME |
OCRIPLASMIN 0.5MG/0.2ML INJ,OPH |
| VA GENERIC NAME |
OCRIPLASMIN |
| DOSAGE FORM |
INJ,SOLN |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
0.5 |
| INACTIVATION DATE |
2017-12-15 00:00:00 |
| UNITS |
MG/0.2ML |
| NATIONAL FORMULARY NAME |
OCRIPLASMIN INJ,SOLN |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
OCRIPLASMIN 0.5MG/0.2ML OPH INJ |
| VA PRODUCT IDENTIFIER |
O0334 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
VI |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4032028 |
| EFFECTIVE DATE/TIME |
-
- 2013-01-31 00:00:00
- STATUS: ACTIVE
-
- 2017-12-15 00:00:00
- STATUS: INACTIVE
|
