| NAME |
ERENUMAB-AOOE 70MG/ML AUTOINJECTOR,PACK,2 |
| VA GENERIC NAME |
ERENUMAB-AOOE |
| DOSAGE FORM |
INJ |
| FORMULARY DESIGNATOR |
PA-F |
| ACTIVE INGREDIENTS |
|
| NATIONAL FORMULARY INDICATOR |
YES |
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
70 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| INACTIVATION DATE |
2019-10-15 00:00:00 |
| UNITS |
MG/ML |
| NATIONAL FORMULARY NAME |
ERENUMAB-AOOE INJ |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2018-07-06 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
ERENUMAB-AOOE 70MG/ML AUTOINJECTOR PK 2 |
| VA PRODUCT IDENTIFIER |
E0754 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
PKG |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4037656 |
| EFFECTIVE DATE/TIME |
-
- 2018-07-06 00:00:00
- STATUS: ACTIVE
-
- 2019-10-15 00:00:00
- STATUS: INACTIVE
|
