OCTREOTIDE ACETATE 2,500MCG/ML INJ,PEN,2.8ML (30237)    VA PRODUCT (50.68)

Name Value
NAME OCTREOTIDE ACETATE 2,500MCG/ML INJ,PEN,2.8ML
VA GENERIC NAME OCTREOTIDE
DOSAGE FORM INJ
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 2500
SINGLE/MULTI SOURCE PRODUCT Single source
INACTIVATION DATE 2021-10-18 00:00:00
UNITS MCG/ML
NATIONAL FORMULARY NAME OCTREOTIDE INJ
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2020-07-02 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME OCTREOTIDE ACETATE 2,500MCG/ML PEN 2.8ML
VA PRODUCT IDENTIFIER O0418
TRANSMIT TO CMOP YES
VA DISPENSE UNIT SYR
MASTER ENTRY FOR VUID YES
VUID 4039504
EFFECTIVE DATE/TIME
  • 2020-07-02 00:00:00
    STATUS:   ACTIVE
  • 2021-10-18 00:00:00
    STATUS:   INACTIVE
  • 2021-10-18 00:00:00
    STATUS:   INACTIVE
  • 2021-10-18 00:00:00
    STATUS:   INACTIVE
  • 2021-10-18 00:00:00
    STATUS:   INACTIVE