ANTIHEMOPHILIC FACTOR 2000UNT/VON WILLEBRAND FACTOR 800UNT INJ (28303)    VA PRODUCT (50.68)

Name Value
NAME ANTIHEMOPHILIC FACTOR 2000UNT/VON WILLEBRAND FACTOR 800UNT INJ
VA GENERIC NAME ANTIHEMOPHILIC FACTOR,HUMAN/VON WILLEBRAND FACTOR
DOSAGE FORM INJ,LYPHL
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Single source
NATIONAL FORMULARY NAME ANTIHEMOPHILIC FACTOR,HUMAN/VON WILLEBRAND FACTOR INJ,LYPHL
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2018-04-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME AHF 2,000 UNIT/VWF 800 UNIT/VIL INJ
VA PRODUCT IDENTIFIER A1970
TRANSMIT TO CMOP NO
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID YES
VUID 4037290
EFFECTIVE DATE/TIME
  • 2018-02-08 00:00:00
    STATUS:   ACTIVE