| NAME |
BIVALIRUDIN 5MG/ML/NACL 0.9% SOLN,INJ,BAG,100ML |
| VA GENERIC NAME |
BIVALIRUDIN |
| DOSAGE FORM |
INJ,SOLN |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
5 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| INACTIVATION DATE |
2022-11-15 00:00:00 |
| UNITS |
MG/ML |
| NATIONAL FORMULARY NAME |
BIVALIRUDIN 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: 2018-06-01 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
BIVALIRUDIN 5MG/ML/NACL 0.9% INJ 100ML |
| VA PRODUCT IDENTIFIER |
B0864 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
BAG |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4037497 |
| EFFECTIVE DATE/TIME |
-
- 2018-05-03 00:00:00
- STATUS: ACTIVE
-
- 2022-11-15 00:00:00
- STATUS: INACTIVE
|
