PEXIDARTINIB 200MG CAP,ORAL (29460)    VA PRODUCT (50.68)

Name Value
NAME PEXIDARTINIB 200MG CAP,ORAL
VA GENERIC NAME PEXIDARTINIB
DOSAGE FORM CAP,ORAL
FDA MED GUIDE Pexidartinib_Cap_(Turalio)_(2022).pdf
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 200
INACTIVATION DATE 2023-05-15 00:00:00
UNITS MG
NATIONAL FORMULARY NAME PEXIDARTINIB CAP,ORAL
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2019-08-15 00:00:00
    COPAY END DATE:   2023-02-08 00:00:00
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2023-02-09 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME PEXIDARTINIB 200MG ORAL CAP
VA PRODUCT IDENTIFIER P1249
TRANSMIT TO CMOP NO
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4038628
EFFECTIVE DATE/TIME
  • 2019-08-15 00:00:00
    STATUS:   ACTIVE
  • 2019-08-15 00:00:00
    STATUS:   ACTIVE
  • 2023-05-15 00:00:00
    STATUS:   INACTIVE