TACROLIMUS (PROGRAF) 1MG/PKT GRNL,RCNST-ORAL (29109)    VA PRODUCT (50.68)

Name Value
NAME TACROLIMUS (PROGRAF) 1MG/PKT GRNL,RCNST-ORAL
VA GENERIC NAME TACROLIMUS
DOSAGE FORM GRNL,RCNST-ORAL
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 1
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MG/PKT
NATIONAL FORMULARY NAME TACROLIMUS GRNL,RCNST-ORAL
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2019-03-21 00:00:00
PGX ELIGIBLE YES
PGX SUPPRESSED NO
VA PRINT NAME TACROLIMUS (PROGRAF) 1MG/PKT ORAL GRNL
VA PRODUCT IDENTIFIER T1015
TRANSMIT TO CMOP NO
VA DISPENSE UNIT PKT
MASTER ENTRY FOR VUID YES
VUID 4038218
EFFECTIVE DATE/TIME
  • 2019-03-21 00:00:00
    STATUS:   ACTIVE