INEBILIZUMAB-CDON 10MG/ML INJ,VIL,10ML (30239)    VA PRODUCT (50.68)

Name Value
NAME INEBILIZUMAB-CDON 10MG/ML INJ,VIL,10ML
VA GENERIC NAME INEBILIZUMAB-CDON
DOSAGE FORM INJ,SOLN
FDA MED GUIDE Inebilizumab-cdon_(Uplizna)_2020).pdf
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
STRENGTH 10
UNITS MG/ML
NATIONAL FORMULARY NAME INEBILIZUMAB-CDON INJ,SOLN
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2020-07-02 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME INEBILIZUMAB-CDON 10MG/ML INJ VIL 10ML
VA PRODUCT IDENTIFIER I0684
TRANSMIT TO CMOP YES
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID YES
VUID 4039500
EFFECTIVE DATE/TIME
  • 2020-07-02 00:00:00
    STATUS:   ACTIVE