TRASTUZUMAB-ANNS 420MG/VIAL INJ (29438)    VA PRODUCT (50.68)

Name Value
NAME TRASTUZUMAB-ANNS 420MG/VIAL INJ
VA GENERIC NAME TRASTUZUMAB-ANNS
DOSAGE FORM INJ
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 420
SINGLE/MULTI SOURCE PRODUCT Single source
UNITS MG/VIAL
NATIONAL FORMULARY NAME TRASTUZUMAB-ANNS INJ
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 TRASTUZUMAB-ANNS 420MG/VIAL INJ
VA PRODUCT IDENTIFIER T1034
TRANSMIT TO CMOP NO
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID YES
VUID 4038602
EFFECTIVE DATE/TIME
  • 2019-08-01 00:00:00
    STATUS:   ACTIVE
  • 2019-08-01 00:00:00
    STATUS:   ACTIVE