ARGATROBAN 1MG/ML/NACL 0.9% INJ,BAG,250ML (25704)    VA PRODUCT (50.68)

Name Value
NAME ARGATROBAN 1MG/ML/NACL 0.9% INJ,BAG,250ML
VA GENERIC NAME ARGATROBAN
DOSAGE FORM INJ,SOLN
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 1
SINGLE/MULTI SOURCE PRODUCT Single source
UNITS MG/ML
NATIONAL FORMULARY NAME ARGATROBAN INJ,SOLN
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME ARGATROBAN 1MG/ML/NACL 0.9%INJ BAG 250ML
VA PRODUCT IDENTIFIER A1805
TRANSMIT TO CMOP NO
VA DISPENSE UNIT BAG
MASTER ENTRY FOR VUID YES
VUID 4034453
EFFECTIVE DATE/TIME
  • 2015-05-14 00:00:00
    STATUS:   ACTIVE