FACTOR XA,INACTIVATED-ZHZO 100MG/VIL INJ,LYPHL (28528)    VA PRODUCT (50.68)

Name Value
NAME FACTOR XA,INACTIVATED-ZHZO 100MG/VIL INJ,LYPHL
VA GENERIC NAME FACTOR XA,INACTIVATED-ZHZO
DOSAGE FORM INJ,LYPHL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 100
SINGLE/MULTI SOURCE PRODUCT Single source
INACTIVATION DATE 2021-07-15 00:00:00
UNITS MG/VIAL
NATIONAL FORMULARY NAME FACTOR XA,INACTIVATED-ZHZO 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:   2018-06-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME FACTOR XA,INACTIVATED-ZHZO 100MG/VI INJ
VA PRODUCT IDENTIFIER F0657
TRANSMIT TO CMOP NO
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID YES
VUID 4037551
EFFECTIVE DATE/TIME
  • 2018-05-17 00:00:00
    STATUS:   ACTIVE
  • 2021-07-15 00:00:00
    STATUS:   INACTIVE
  • 2021-07-15 00:00:00
    STATUS:   INACTIVE
  • 2021-07-15 00:00:00
    STATUS:   INACTIVE