TIROFIBAN HCL 50MCG/ML INJ (27924)    VA PRODUCT (50.68)

Name Value
NAME TIROFIBAN HCL 50MCG/ML INJ
VA GENERIC NAME TIROFIBAN
DOSAGE FORM INJ,SOLN
ACTIVE INGREDIENTS
STRENGTH 50
UNITS MCG/ML
NATIONAL FORMULARY NAME TIROFIBAN INJ,SOLN
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2017-11-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TIROFIBAN HCL 50MCG/ML INJ
VA PRODUCT IDENTIFIER T0965
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4036907
EFFECTIVE DATE/TIME
  • 2017-10-06 00:00:00
    STATUS:   ACTIVE