| NAME |
TALIMOGENE LAHERPAREPVEC 100 MILLION PFU/ML INJ,SUSP,1ML,VIL |
| VA GENERIC NAME |
TALIMOGENE LAHERPAREPVEC |
| DOSAGE FORM |
INJ,SUSP |
| FDA MED GUIDE |
Talimogene_Laherparepvec_(Imlygic)_(2019).pdf |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
100000000 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| UNITS |
PFU/ML |
| NATIONAL FORMULARY NAME |
TALIMOGENE LAHERPAREPVEC INJ,SUSP |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
TALIMOGENE LAHERPAREP 100 MIL PFU/ML 1ML |
| VA PRODUCT IDENTIFIER |
T0910 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
ML |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4035059 |
| EFFECTIVE DATE/TIME |
-
- 2015-11-17 00:00:00
- STATUS: ACTIVE
|
