OCRIPLASMIN 0.375MG/0.3ML INJ,OPH (27946)    VA PRODUCT (50.68)

Name Value
NAME OCRIPLASMIN 0.375MG/0.3ML INJ,OPH
VA GENERIC NAME OCRIPLASMIN
DOSAGE FORM INJ,SOLN
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 0.375
INACTIVATION DATE 2020-08-16 00:00:00
UNITS MG/0.3ML
NATIONAL FORMULARY NAME OCRIPLASMIN 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:   2017-11-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME OCRIPLASMIN 0.375MG/0.3ML OPH INJ
VA PRODUCT IDENTIFIER O0400
TRANSMIT TO CMOP NO
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID YES
VUID 4036925
EFFECTIVE DATE/TIME
  • 2017-10-10 00:00:00
    STATUS:   ACTIVE
  • 2020-08-16 00:00:00
    STATUS:   INACTIVE
  • 2020-08-16 00:00:00
    STATUS:   INACTIVE