GALCANEZUMAB-GNLM 100MG/ML INJ,SYRINGE,1ML (29313)    VA PRODUCT (50.68)

Name Value
NAME GALCANEZUMAB-GNLM 100MG/ML INJ,SYRINGE,1ML
VA GENERIC NAME GALCANEZUMAB-GNLM
DOSAGE FORM INJ,SOLN
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 100
SINGLE/MULTI SOURCE PRODUCT Single source
UNITS MG/ML
NATIONAL FORMULARY NAME GALCANEZUMAB-GNLM 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:   2019-06-13 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME GALCANEZUMAB-GNLM 100MG/ML INJ,SYR,1ML
VA PRODUCT IDENTIFIER G0478
TRANSMIT TO CMOP YES
VA DISPENSE UNIT SYR
MASTER ENTRY FOR VUID YES
VUID 4038463
EFFECTIVE DATE/TIME
  • 2019-06-13 00:00:00
    STATUS:   ACTIVE
  • 2019-06-13 00:00:00
    STATUS:   ACTIVE