FERRIC PYROPHOSPHATE CITRATE 27.2MG/5ML INJ,50ML (26052)    VA PRODUCT (50.68)

Name Value
NAME FERRIC PYROPHOSPHATE CITRATE 27.2MG/5ML INJ,50ML
VA GENERIC NAME FERRIC PYROPHOSPHATE CITRATE
DOSAGE FORM INJ
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 27.2
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2017-05-15 00:00:00
UNITS MG/5ML
NATIONAL FORMULARY NAME FERRIC PYROPHOSPHATE CITRATE INJ
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME FERRIC PYROPHOSP CIT 27.2MG/5ML INJ 50ML
VA PRODUCT IDENTIFIER F0575
TRANSMIT TO CMOP NO
VA DISPENSE UNIT AMP
MASTER ENTRY FOR VUID YES
VUID 4034834
EFFECTIVE DATE/TIME
  • 2015-09-25 00:00:00
    STATUS:   ACTIVE