ANTIHEMOPHILIC FACTOR 500UNT/VON WILLEBRAND FACTOR 500UNT INJ (25195)    VA PRODUCT (50.68)

Name Value
NAME ANTIHEMOPHILIC FACTOR 500UNT/VON WILLEBRAND FACTOR 500UNT INJ
VA GENERIC NAME ANTIHEMOPHILIC FACTOR,HUMAN/VON WILLEBRAND FACTOR
DOSAGE FORM INJ,LYPHL
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Single source
NATIONAL FORMULARY NAME ANTIHEMOPHILIC FACTOR,HUMAN/VON WILLEBRAND FACTOR INJ,LYPHL
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME AHF 500 UNIT/VWF 500 UNIT/VIL INJ
VA PRODUCT IDENTIFIER A1770
TRANSMIT TO CMOP NO
VA DISPENSE UNIT KIT
MASTER ENTRY FOR VUID YES
VUID 4033880
EFFECTIVE DATE/TIME
  • 2014-11-25 00:00:00
    STATUS:   ACTIVE