TRAMETINIB 0.5MG TAB,ORAL (23991)    VA PRODUCT (50.68)

Name Value
NAME TRAMETINIB 0.5MG TAB,ORAL
VA GENERIC NAME TRAMETINIB
DOSAGE FORM TAB,ORAL
HAZARDOUS TO DISPOSE NO
FORMULARY DESIGNATOR PA-F
FORMULARY DESIGNATOR TEXT
Restrict to Hematology/Oncology
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR YES
STRENGTH 0.5
UNITS MG
NATIONAL FORMULARY NAME TRAMETINIB TAB,ORAL
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 TRAMETINIB 0.5MG ORAL TAB
VA PRODUCT IDENTIFIER T0824
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4032510
EFFECTIVE DATE/TIME
  • 2013-06-27 00:00:00
    STATUS:   ACTIVE