RAVULIZUMAB-CWVZ 10MG/ML INJ,SOLN (28992)    VA PRODUCT (50.68)

Name Value
NAME RAVULIZUMAB-CWVZ 10MG/ML INJ,SOLN
VA GENERIC NAME RAVULIZUMAB-CWVZ
DOSAGE FORM INJ,SOLN
FDA MED GUIDE Ravulizumab-cwvz_(Ultomiris)_(Jul_2022).pdf
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 10
SINGLE/MULTI SOURCE PRODUCT Single source
INACTIVATION DATE 2021-09-15 00:00:00
UNITS MG/ML
NATIONAL FORMULARY NAME RAVULIZUMAB-CWVZ INJ,SOLN
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:   2019-01-07 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME RAVULIZUMAB-CWVZ 10MG/ML SOLN INJ
VA PRODUCT IDENTIFIER R0387
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4038097
EFFECTIVE DATE/TIME
  • 2019-01-07 00:00:00
    STATUS:   ACTIVE
  • 2021-09-15 00:00:00
    STATUS:   INACTIVE
  • 2021-09-15 00:00:00
    STATUS:   INACTIVE
  • 2021-09-15 00:00:00
    STATUS:   INACTIVE