DOXORUBICIN HCL 20MG/VIL INJ (2982)    VA PRODUCT (50.68)

Name Value
NAME DOXORUBICIN HCL 20MG/VIL INJ
VA GENERIC NAME DOXORUBICIN
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 20
INACTIVATION DATE 2004-11-18 00:00:00
UNITS MG/VIAL
DSS NUMBER 14
NATIONAL FORMULARY NAME DOXORUBICIN INJ,SOLN
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DOXORUBICIN HCL 20MG/VIL INJ
VA PRODUCT IDENTIFIER D0326
TRANSMIT TO CMOP NO
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID NO
VUID 4003561
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2005-12-08 00:00:00
    STATUS:   ACTIVE
  • 2008-07-02 00:00:00
    STATUS:   INACTIVE
  • 2004-11-18 00:00:00
    STATUS:   INACTIVE