TRASTUZUMAB 120MG/HYALURONIDASE-OYSK 2000UNIT/ML INJ,SOLN (29266) VA PRODUCT (50.68)

Name	Value
NAME	TRASTUZUMAB 120MG/HYALURONIDASE-OYSK 2000UNIT/ML INJ,SOLN
VA GENERIC NAME	TRASTUZUMAB/HYALURONIDASE-OYSK
DOSAGE FORM	INJ,SOLN
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	TRASTUZUMAB STRENGTH: 120 UNITS: MG/ML HYALURONIDASE STRENGTH: 2000 UNITS: UNIT/ML
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	TRASTUZUMAB/HYALURONIDASE-OYSK INJ,SOLN
CREATE DEFAULT POSSIBLE DOSAGE	NO
POSSIBLE DOSAGES TO CREATE	No Possible Dosages
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 3 COPAY EFFECTIVE DATE: 2019-05-21 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	TRASTUZUMAB 120MG/HYALURONIDASE 2000UNIT
VA PRODUCT IDENTIFIER	T1023
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4038409
EFFECTIVE DATE/TIME	2019-05-21 00:00:00 STATUS: ACTIVE