RAMUCIRUMAB 10MG/ML INJ,SOLN (24688)    VA PRODUCT (50.68)

Name Value
NAME RAMUCIRUMAB 10MG/ML INJ,SOLN
VA GENERIC NAME RAMUCIRUMAB
DOSAGE FORM INJ,SOLN
FORMULARY DESIGNATOR PA-F
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR YES
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 10
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MG/ML
NATIONAL FORMULARY NAME RAMUCIRUMAB INJ,SOLN
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
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 RAMUCIRUMAB 10MG/ML SOLN INJ
VA PRODUCT IDENTIFIER R0334
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4033304
EFFECTIVE DATE/TIME
  • 2014-05-13 00:00:00
    STATUS:   ACTIVE