| NAME |
PASIREOTIDE 20MG/KIT INJ,SUSP,SA |
| VA GENERIC NAME |
PASIREOTIDE |
| DOSAGE FORM |
INJ,SUSP,SA |
| ACTIVE INGREDIENTS |
|
| STRENGTH |
20 |
| UNITS |
MG |
| NATIONAL FORMULARY NAME |
PASIREOTIDE INJ,SUSP,SA |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
PASIREOTIDE 20MG/KIT SA INJ SUSP |
| VA PRODUCT IDENTIFIER |
P1123 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
KIT |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4034234 |
| EFFECTIVE DATE/TIME |
-
- 2015-02-26 00:00:00
- STATUS: ACTIVE
|
