NETUPITANT 300MG/PALONOSETRON 0.5MG CAP,UD (25127) VA PRODUCT (50.68)

Name	Value
NAME	NETUPITANT 300MG/PALONOSETRON 0.5MG CAP,UD
VA GENERIC NAME	NETUPITANT/PALONOSETRON
DOSAGE FORM	CAP,ORAL
ACTIVE INGREDIENTS	PALONOSETRON STRENGTH: 0.5 UNITS: MG NETUPITANT STRENGTH: 300 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	NETUPITANT/PALONOSETRON CAP,ORAL
CREATE DEFAULT POSSIBLE DOSAGE	NO
POSSIBLE DOSAGES TO CREATE	1x Possible Dosage
PACKAGE	Both Inpatient and Outpatient
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	NETUPITANT 300/PALONOSETRON 0.5MG CAP UD
VA PRODUCT IDENTIFIER	N0695
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4033805
EFFECTIVE DATE/TIME	2014-10-28 00:00:00 STATUS: ACTIVE