DAROLUTAMIDE 300MG TAB (29448)    VA PRODUCT (50.68)

Name Value
NAME DAROLUTAMIDE 300MG TAB
VA GENERIC NAME DAROLUTAMIDE
DOSAGE FORM TAB
HAZARDOUS TO DISPOSE NO
FORMULARY DESIGNATOR PA-F
FORMULARY DESIGNATOR TEXT 
Restrict to Medical Oncology, Urology, Radiation Oncology
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR YES
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 300
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MG
NATIONAL FORMULARY NAME DAROLUTAMIDE TAB
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE 1x and 2x Possible Dosages
PACKAGE Both Inpatient and Outpatient
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2019-08-08 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DAROLUTAMIDE 300MG TAB
VA PRODUCT IDENTIFIER D1218
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4038613
EFFECTIVE DATE/TIME
  • 2019-08-08 00:00:00
    STATUS:   ACTIVE
  • 2019-08-08 00:00:00
    STATUS:   ACTIVE