FEDRATINIB 100MG CAP,ORAL (29494)    VA PRODUCT (50.68)

Name Value
NAME FEDRATINIB 100MG CAP,ORAL
VA GENERIC NAME FEDRATINIB
DOSAGE FORM CAP,ORAL
FDA MED GUIDE Fedratinib_(Inrebic)_(2021).pdf
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 100
SINGLE/MULTI SOURCE PRODUCT Single source
UNITS MG
NATIONAL FORMULARY NAME FEDRATINIB CAP,ORAL
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2019-08-29 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME FEDRATINIB 100MG ORAL CAP
VA PRODUCT IDENTIFIER F0685
TRANSMIT TO CMOP NO
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4038667
EFFECTIVE DATE/TIME
  • 2019-08-29 00:00:00
    STATUS:   ACTIVE