| NAME |
TOFACITINIB 22MG 24HR TAB,SA |
| VA GENERIC NAME |
TOFACITINIB |
| DOSAGE FORM |
TAB,SA |
| FDA MED GUIDE |
Tofacitinib_(Xeljanz_IR_and_XR)_(2021).pdf |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| STRENGTH |
22 |
| UNITS |
MG |
| NATIONAL FORMULARY NAME |
TOFACITINIB TAB,SA |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
1x Possible Dosage |
| PACKAGE |
Both Inpatient and Outpatient |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2020-01-23 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
TOFACITINIB 22MG 24HR SA TAB |
| VA PRODUCT IDENTIFIER |
T1050 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
TAB |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4039083 |
| EFFECTIVE DATE/TIME |
-
- 2020-01-23 00:00:00
- STATUS: ACTIVE
|
