BEVACIZUMAB-AWWB 25MG/ML INJ,SOLN 4ML (29435)    VA PRODUCT (50.68)

Name Value
NAME BEVACIZUMAB-AWWB 25MG/ML INJ,SOLN 4ML
VA GENERIC NAME BEVACIZUMAB-AWWB
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 25
SINGLE/MULTI SOURCE PRODUCT Single source
UNITS MG/ML
NATIONAL FORMULARY NAME BEVACIZUMAB-AWWB 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:   2019-08-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME BEVACIZUMAB-AWWB 25MG/ML INJ SOLN 4ML
VA PRODUCT IDENTIFIER B0885
TRANSMIT TO CMOP NO
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID YES
VUID 4038597
EFFECTIVE DATE/TIME
  • 2019-08-01 00:00:00
    STATUS:   ACTIVE
  • 2019-08-01 00:00:00
    STATUS:   ACTIVE