FACTOR VIII, KOATE-DVI, HUMAN 1000UNT/VIL INJ (25750) VA PRODUCT (50.68)

Name	Value
NAME	FACTOR VIII, KOATE-DVI, HUMAN 1000UNT/VIL INJ
VA GENERIC NAME	ANTIHEMOPHILIC FACTOR,HUMAN
DOSAGE FORM	INJ
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	ANTIHEMOPHILIC FACTOR,HUMAN STRENGTH: 1000 UNITS: UNT/VIL
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	ANTIHEMOPHILIC FACTOR,HUMAN INJ
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	FACTOR VIII,KOATE-DVI,HUMAN 1000UNT INJ
VA PRODUCT IDENTIFIER	F0567
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	VI
MASTER ENTRY FOR VUID	YES
VUID	4034500
EFFECTIVE DATE/TIME	2015-06-10 00:00:00 STATUS: ACTIVE