| NAME |
THROMBIN 20,000 UNIT/VI (BOVINE) PWDR,TOP,KIT |
| VA GENERIC NAME |
THROMBIN |
| DOSAGE FORM |
POWDER,TOP |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
20000 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| UNITS |
UNT/VIL |
| NATIONAL FORMULARY NAME |
THROMBIN POWDER,TOP |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2017-06-01 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
THROMBIN 20,000 UNIT/VI (BOVINE) TOP KIT |
| VA PRODUCT IDENTIFIER |
T0955 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
KIT |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4036582 |
| EFFECTIVE DATE/TIME |
-
- 2017-04-20 00:00:00
- STATUS: ACTIVE
|
