MEPOLIZUMAB 100MG/ML AUTOINJECTOR (29330)    VA PRODUCT (50.68)

Name Value
NAME MEPOLIZUMAB 100MG/ML AUTOINJECTOR
VA GENERIC NAME MEPOLIZUMAB
DOSAGE FORM INJ,SOLN
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 100
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MG/ML
NATIONAL FORMULARY NAME MEPOLIZUMAB 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:   2019-06-21 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME MEPOLIZUMAB 100MG/ML AUTOINJECTOR
VA PRODUCT IDENTIFIER M1214
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4038483
EFFECTIVE DATE/TIME
  • 2019-06-21 00:00:00
    STATUS:   ACTIVE
  • 2019-06-21 00:00:00
    STATUS:   ACTIVE