LENVATINIB 10MG X 30/4MG X 60 (18MG) DAILY PKT (26942)    VA PRODUCT (50.68)

Name Value
NAME LENVATINIB 10MG X 30/4MG X 60 (18MG) DAILY PKT
VA GENERIC NAME LENVATINIB
DOSAGE FORM CAP,ORAL
FORMULARY DESIGNATOR PA-F
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR YES
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Single source
INACTIVATION DATE 2019-07-15 00:00:00
NATIONAL FORMULARY NAME LENVATINIB CAP,ORAL
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
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 LENVATINIB 10MGX30/4MGX60(18MG)DAILY PKT
VA PRODUCT IDENTIFIER L0697
TRANSMIT TO CMOP NO
VA DISPENSE UNIT PKT
MASTER ENTRY FOR VUID YES
VUID 4035800
EFFECTIVE DATE/TIME
  • 2016-06-10 00:00:00
    STATUS:   ACTIVE
  • 2019-07-15 00:00:00
    STATUS:   INACTIVE
  • 2019-07-15 00:00:00
    STATUS:   INACTIVE