MITOMYCIN 40MG/VIL SOLN,URH (30316)    VA PRODUCT (50.68)

Name Value
NAME MITOMYCIN 40MG/VIL SOLN,URH
VA GENERIC NAME MITOMYCIN
DOSAGE FORM SOLN,URH
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 40
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MG/VIAL
NATIONAL FORMULARY NAME MITOMYCIN SOLN,URH
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2020-08-05 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME MITOMYCIN 40MG/VIL URH SOLN
VA PRODUCT IDENTIFIER M1241
TRANSMIT TO CMOP NO
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID YES
VUID 4039589
EFFECTIVE DATE/TIME
  • 2020-08-05 00:00:00
    STATUS:   ACTIVE
  • 2020-08-05 00:00:00
    STATUS:   ACTIVE