| NAME |
ANTIHEMOPHILIC FACTOR,RECOMB,SINGLE CHAIN 1500UNIT/VIL INJ |
| VA GENERIC NAME |
ANTIHEMOPHILIC FACTOR |
| DOSAGE FORM |
INJ,LYPHL |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
1500 |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| UNITS |
UNIT/VIL |
| NATIONAL FORMULARY NAME |
ANTIHEMOPHILIC FACTOR INJ,LYPHL |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2017-08-01 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
ANTIHEMO FACT SNGL CHAIN 1500UNIT/VI INJ |
| VA PRODUCT IDENTIFIER |
A1939 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
VI |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4036736 |
| EFFECTIVE DATE/TIME |
-
- 2017-06-16 00:00:00
- STATUS: ACTIVE
|
