SATRALIZUMAB-MWGE 120MG/ML INJ,SYRINGE,1ML (30364)    VA PRODUCT (50.68)

Name Value
NAME SATRALIZUMAB-MWGE 120MG/ML INJ,SYRINGE,1ML
VA GENERIC NAME SATRALIZUMAB-MWGE
DOSAGE FORM INJ,SOLN
FDA MED GUIDE Satralizumab-mwge_(Enspryng)_(2022).pdf
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 120
SINGLE/MULTI SOURCE PRODUCT Single source
UNITS MG/ML
NATIONAL FORMULARY NAME SATRALIZUMAB-MWGE INJ,SOLN
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2020-08-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME SATRALIZUMAB-MWGE 120MG/ML INJ SYR 1ML
VA PRODUCT IDENTIFIER S0906
TRANSMIT TO CMOP NO
VA DISPENSE UNIT SYR
MASTER ENTRY FOR VUID YES
VUID 4039653
EFFECTIVE DATE/TIME
  • 2020-08-27 00:00:00
    STATUS:   ACTIVE
  • 2020-08-27 00:00:00
    STATUS:   ACTIVE
  • 2020-08-27 00:00:00
    STATUS:   ACTIVE