| NAME |
HYALURONIDASE (HYQVIA) 160UNIT/ML INJ,5ML |
| VA GENERIC NAME |
HYALURONIDASE |
| DOSAGE FORM |
INJ,SOLN |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
160 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| INACTIVATION DATE |
2016-12-30 00:00:00 |
| UNITS |
UNIT/ML |
| NATIONAL FORMULARY NAME |
HYALURONIDASE INJ,SOLN |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| 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 |
HYALURONIDASE (HYQVIA) 160UNIT/ML 5ML |
| VA PRODUCT IDENTIFIER |
XI558 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
VI |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4035771 |
| EFFECTIVE DATE/TIME |
-
- 2016-06-07 00:00:00
- STATUS: ACTIVE
|
