| NAME |
FLORBETAPIR F-18 INJ,SOLN |
| VA GENERIC NAME |
FLORBETAPIR F-18 |
| DOSAGE FORM |
INJ,SOLN |
| ACTIVE INGREDIENTS |
|
| NATIONAL FORMULARY NAME |
FLORBETAPIR F-18 INJ,SOLN |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
FLORBETAPIR F-18 INJ SOLN |
| VA PRODUCT IDENTIFIER |
F0577 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
ML |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4034857 |
| EFFECTIVE DATE/TIME |
-
- 2015-10-02 00:00:00
- STATUS: ACTIVE
|
