| NAME |
IXEKIZUMAB 80MG/ML AUTO INJECTOR |
| VA GENERIC NAME |
IXEKIZUMAB |
| DOSAGE FORM |
INJ,SOLN |
| FDA MED GUIDE |
Ixekizumab_(Taltz)_(2022).pdf |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
80 |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| UNITS |
MG/ML |
| NATIONAL FORMULARY NAME |
IXEKIZUMAB 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 |
IXEKIZUMAB 80MG/ML AUTO INJECTOR |
| VA PRODUCT IDENTIFIER |
I0613 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
INJECTOR |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4035616 |
| EFFECTIVE DATE/TIME |
-
- 2016-04-15 00:00:00
- STATUS: ACTIVE
|
