BELANTAMAB MAFODOTIN-BLMF 100MG/VIAL INJ (30343)    VA PRODUCT (50.68)

Name Value
NAME BELANTAMAB MAFODOTIN-BLMF 100MG/VIAL INJ
VA GENERIC NAME BELANTAMAB MAFODOTIN-BLMF
DOSAGE FORM INJ
FDA MED GUIDE Belantamab-mafodotin-blmf_(Blenrep)_(2022).pdf
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 100
SINGLE/MULTI SOURCE PRODUCT Single source
UNITS MG/VIAL
NATIONAL FORMULARY NAME BELANTAMAB MAFODOTIN-BLMF INJ
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:   2020-08-20 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME BELANTAMAB MAFODOTIN-BLMF 100MG/VIAL INJ
VA PRODUCT IDENTIFIER B0908
TRANSMIT TO CMOP NO
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID YES
VUID 4039626
EFFECTIVE DATE/TIME
  • 2020-08-20 00:00:00
    STATUS:   ACTIVE
  • 2020-08-20 00:00:00
    STATUS:   ACTIVE
  • 2020-08-20 00:00:00
    STATUS:   ACTIVE