CYTARABINE 20MG/ML (PF) INJ,SOLN (29428)    VA PRODUCT (50.68)

Name Value
NAME CYTARABINE 20MG/ML (PF) INJ,SOLN
VA GENERIC NAME CYTARABINE
DOSAGE FORM INJ,SOLN
HAZARDOUS TO DISPOSE NO
FORMULARY DESIGNATOR PA-F
FORMULARY DESIGNATOR TEXT 
Restrict to Hematology/Oncology
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR YES
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 20
SINGLE/MULTI SOURCE PRODUCT Single source
UNITS MG/ML
NATIONAL FORMULARY NAME CYTARABINE INJ,SOLN
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2019-07-26 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME CYTARABINE 20MG/ML (PF) SOLN INJ
VA PRODUCT IDENTIFIER C1899
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4038589
EFFECTIVE DATE/TIME
  • 2019-07-26 00:00:00
    STATUS:   ACTIVE
  • 2019-07-26 00:00:00
    STATUS:   ACTIVE