| NAME |
PARATHYROID HORMONE 100MCG/DOSE INJ,CARTRIDGE,14D |
| VA GENERIC NAME |
PARATHYROID HORMONE |
| DOSAGE FORM |
INJ,LYPHL |
| FDA MED GUIDE |
Parathyroid_Hormone_Inj_(Natpara)_(2020).pdf |
| FORMULARY DESIGNATOR |
PA-F |
| ACTIVE INGREDIENTS |
|
| NATIONAL FORMULARY INDICATOR |
YES |
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
100 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| UNITS |
MCG/DOSE |
| NATIONAL FORMULARY NAME |
PARATHYROID HORMONE INJ,LYPHL |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
- COPAY END DATE: 2023-04-19 00:00:00
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2023-04-20 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
PARATHYROID HORMONE 100MCG/DOSE INJ,14D |
| VA PRODUCT IDENTIFIER |
P1131 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4034358 |
| EFFECTIVE DATE/TIME |
-
- 2015-04-14 00:00:00
- STATUS: ACTIVE
|
