| NAME |
ROLAPITANT 1.8MG/ML INJ,EMULSION,92.5ML |
| VA GENERIC NAME |
ROLAPITANT |
| DOSAGE FORM |
INJ,EMULSION |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
1.8 |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| UNITS |
MG/ML |
| NATIONAL FORMULARY NAME |
ROLAPITANT INJ,EMULSION |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2018-01-01 00:00:00
- COPAY END DATE: 2022-05-04 00:00:00
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2022-05-05 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
ROLAPITANT 1.8MG/ML EMULSION INJ 92.5ML |
| VA PRODUCT IDENTIFIER |
R0371 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4037070 |
| EFFECTIVE DATE/TIME |
-
- 2017-11-20 00:00:00
- STATUS: ACTIVE
|
