NECITUMUMAB 16MG/ML INJ,SOLN (26435)    VA PRODUCT (50.68)

Name Value
NAME NECITUMUMAB 16MG/ML INJ,SOLN
VA GENERIC NAME NECITUMUMAB
DOSAGE FORM INJ,SOLN
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 16
SINGLE/MULTI SOURCE PRODUCT Single source
UNITS MG/ML
NATIONAL FORMULARY NAME NECITUMUMAB INJ,SOLN
CREATE DEFAULT POSSIBLE DOSAGE YES
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 NECITUMUMAB 16MG/ML SOLN INJ
VA PRODUCT IDENTIFIER N0745
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4035255
EFFECTIVE DATE/TIME
  • 2015-12-29 00:00:00
    STATUS:   ACTIVE