PROTHROMBIN COMPLEX,HUMAN 1000UNIT/VIL INJ,KIT (27175) VA PRODUCT (50.68)

Name	Value
NAME	PROTHROMBIN COMPLEX,HUMAN 1000UNIT/VIL INJ,KIT
VA GENERIC NAME	PROTHROMBIN COMPLEX
DOSAGE FORM	INJ,LYPHL
ACTIVE INGREDIENTS	PROTHROMBIN COMPLEX STRENGTH: 1000 UNITS: UNIT/VIL
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	PROTHROMBIN COMPLEX INJ,LYPHL
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	PROTHROMB CMPLX HUM 1000UNIT/VIL INJ KIT
VA PRODUCT IDENTIFIER	P1176
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	KIT
MASTER ENTRY FOR VUID	YES
VUID	4036059
EFFECTIVE DATE/TIME	2016-09-26 00:00:00 STATUS: ACTIVE