ORITAVANCIN 400MG/VIL INJ (25034)    VA PRODUCT (50.68)

Name Value
NAME ORITAVANCIN 400MG/VIL INJ
VA GENERIC NAME ORITAVANCIN
DOSAGE FORM INJ,LYPHL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 400
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MG/VIAL
NATIONAL FORMULARY NAME ORITAVANCIN INJ,LYPHL
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 ORITAVANCIN 400MG/VIL INJ
VA PRODUCT IDENTIFIER O0360
TRANSMIT TO CMOP NO
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID YES
VUID 4033691
EFFECTIVE DATE/TIME
  • 2014-09-23 00:00:00
    STATUS:   ACTIVE
  • 2018-03-16 00:00:00
    STATUS:   INACTIVE
  • 2018-05-01 00:00:00
    STATUS:   ACTIVE