SOMATROPIN (OMNITROPE) 10MG/1.5ML INJ,SOLN,CARTRIDGE (27056)    VA PRODUCT (50.68)

Name Value
NAME SOMATROPIN (OMNITROPE) 10MG/1.5ML INJ,SOLN,CARTRIDGE
VA GENERIC NAME SOMATROPIN
DOSAGE FORM INJ
ACTIVE INGREDIENTS
STRENGTH 10
UNITS MG/1.5ML
NATIONAL FORMULARY NAME SOMATROPIN INJ
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 SOMATROPIN (OMNITROPE)10MG/1.5ML INJ CTG
VA PRODUCT IDENTIFIER S0816
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4035927
EFFECTIVE DATE/TIME
  • 2016-07-26 00:00:00
    STATUS:   ACTIVE