SELUMETINIB 10MG CAP,ORAL (30077)    VA PRODUCT (50.68)

Name Value
NAME SELUMETINIB 10MG CAP,ORAL
VA GENERIC NAME SELUMETINIB
DOSAGE FORM CAP,ORAL
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
STRENGTH 10
UNITS MG
NATIONAL FORMULARY NAME SELUMETINIB CAP,ORAL
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2020-04-23 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME SELUMETINIB 10MG ORAL CAP
VA PRODUCT IDENTIFIER S0895
TRANSMIT TO CMOP NO
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4039320
EFFECTIVE DATE/TIME
  • 2020-04-23 00:00:00
    STATUS:   ACTIVE