RITUXIMAB 1600MG/HYALURONIDASE 26800UNIT/13.4ML INJ,SOLN (27850) VA PRODUCT (50.68)

Name	Value
NAME	RITUXIMAB 1600MG/HYALURONIDASE 26800UNIT/13.4ML INJ,SOLN
VA GENERIC NAME	RITUXIMAB/HYALURONIDASE
DOSAGE FORM	INJ,SOLN
FDA MED GUIDE	Rituximab-Hyaluronidase_(Rituxan_Hycela)_(2021).pdf
ACTIVE INGREDIENTS	RITUXIMAB STRENGTH: 120 UNITS: MG/ML HYALURONIDASE STRENGTH: 2000 UNITS: UNIT/ML
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	RITUXIMAB/HYALURONIDASE INJ,SOLN
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: 2017-09-01 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	RITUXIMAB 1600/HYALURON 26800/13.4ML INJ
VA PRODUCT IDENTIFIER	R0369
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	VI
MASTER ENTRY FOR VUID	YES
VUID	4036809
EFFECTIVE DATE/TIME	2017-07-14 00:00:00 STATUS: ACTIVE