| NAME |
HYDROXYPROGESTERONE CAPROATE 275MG/1.1ML AUTOINJECTOR |
| VA GENERIC NAME |
HYDROXYPROGESTERONE |
| DOSAGE FORM |
INJ,SOLN |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
275 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| INACTIVATION DATE |
2023-04-26 00:00:00 |
| UNITS |
MG/1.1ML |
| NATIONAL FORMULARY NAME |
HYDROXYPROGESTERONE INJ,SOLN |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2018-04-01 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
HYDROXYPROGESTERONE 275MG/1.1ML AUTOINJ |
| VA PRODUCT IDENTIFIER |
H0729 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4037374 |
| EFFECTIVE DATE/TIME |
-
- 2018-03-09 00:00:00
- STATUS: ACTIVE
-
- 2023-04-26 00:00:00
- STATUS: INACTIVE
|
