AVATROMBOPAG 20MG TAB (28570)    VA PRODUCT (50.68)

Name Value
NAME AVATROMBOPAG 20MG TAB
VA GENERIC NAME AVATROMBOPAG
DOSAGE FORM TAB
HAZARDOUS TO DISPOSE NO
FORMULARY DESIGNATOR PA-F
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR YES
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 20
SINGLE/MULTI SOURCE PRODUCT Single source
UNITS MG
NATIONAL FORMULARY NAME AVATROMBOPAG TAB
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2018-06-07 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME AVATROMBOPAG 20MG TAB
VA PRODUCT IDENTIFIER A1982
TRANSMIT TO CMOP NO
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4037595
EFFECTIVE DATE/TIME
  • 2018-06-07 00:00:00
    STATUS:   ACTIVE
  • 2018-06-07 00:00:00
    STATUS:   ACTIVE