| NAME |
MACIMORELIN 60MG/120ML SOLN,ORAL PKT |
| VA GENERIC NAME |
MACIMORELIN |
| DOSAGE FORM |
PWDR,RENST-ORAL |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
60 |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| UNITS |
MG/120ML |
| NATIONAL FORMULARY NAME |
MACIMORELIN PWDR,RENST-ORAL |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2018-08-02 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
MACIMORELIN 60MG/120ML ORAL SOLN PKT |
| VA PRODUCT IDENTIFIER |
M1194 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
PKT |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4037722 |
| EFFECTIVE DATE/TIME |
-
- 2018-08-02 00:00:00
- STATUS: ACTIVE
|
