BREXANOLONE 5MG/ML INJ,SOLN (29344)    VA PRODUCT (50.68)

Name Value
NAME BREXANOLONE 5MG/ML INJ,SOLN
VA GENERIC NAME BREXANOLONE
DOSAGE FORM INJ,SOLN
FDA MED GUIDE Brexanolone_(Zulresso)_(2022).pdf
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
STRENGTH 5
UNITS MG/ML
NATIONAL FORMULARY NAME BREXANOLONE 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:   2019-06-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME BREXANOLONE 5MG/ML SOLN INJ
VA PRODUCT IDENTIFIER B0884
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4038495
EFFECTIVE DATE/TIME
  • 2019-06-27 00:00:00
    STATUS:   ACTIVE
  • 2019-06-27 00:00:00
    STATUS:   ACTIVE