ZOLEDRONIC ACID 0.8MG/ML INJ,5ML (23723)    VA PRODUCT (50.68)

Name Value
NAME ZOLEDRONIC ACID 0.8MG/ML INJ,5ML
VA GENERIC NAME ZOLEDRONIC
DOSAGE FORM INJ,SOLN
FDA MED GUIDE Zoledronic_Acid_(Generic)_(2019).pdf
FORMULARY DESIGNATOR PA-F
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR YES
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 0.8
SINGLE/MULTI SOURCE PRODUCT Single source
UNITS MG/ML
NATIONAL FORMULARY NAME ZOLEDRONIC INJ,SOLN
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 ZOLEDRONIC ACID 0.8MG/ML INJ 5ML
VA PRODUCT IDENTIFIER Z0099
TRANSMIT TO CMOP NO
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID YES
VUID 4032211
EFFECTIVE DATE/TIME
  • 2013-03-13 00:00:00
    STATUS:   ACTIVE