| NAME |
TIROFIBAN HCL 50MCG/ML INJ,BAG,100ML |
| VA GENERIC NAME |
TIROFIBAN |
| DOSAGE FORM |
INJ,SOLN |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
50 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| INACTIVATION DATE |
2018-02-15 00:00:00 |
| UNITS |
MCG/ML |
| NATIONAL FORMULARY NAME |
TIROFIBAN INJ,SOLN |
| 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 |
TIROFIBAN HCL 50MCG/ML INJ 100ML BAG |
| VA PRODUCT IDENTIFIER |
T0920 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
BAG |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4035240 |
| EFFECTIVE DATE/TIME |
-
- 2015-12-22 00:00:00
- STATUS: ACTIVE
-
- 2018-02-15 00:00:00
- STATUS: INACTIVE
|
