OFATUMUMAB 20MG/0.4ML PEN INJ (SENSOREADY) (30386)    VA PRODUCT (50.68)

Name Value
NAME OFATUMUMAB 20MG/0.4ML PEN INJ (SENSOREADY)
VA GENERIC NAME OFATUMUMAB
DOSAGE FORM INJ,SOLN
FDA MED GUIDE Ofatumumab_(Kesimpta)_(2022).pdf
HAZARDOUS TO DISPOSE NO
FORMULARY DESIGNATOR PA-F
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR YES
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 20
SINGLE/MULTI SOURCE PRODUCT Single source
UNITS MG/0.4ML
NATIONAL FORMULARY NAME OFATUMUMAB INJ,SOLN
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:   2020-09-03 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME OFATUMUMAB 20MG/0.4ML PEN (SENSOREADY)
VA PRODUCT IDENTIFIER O0421
TRANSMIT TO CMOP NO
VA DISPENSE UNIT SYR
MASTER ENTRY FOR VUID YES
VUID 4039672
EFFECTIVE DATE/TIME
  • 2020-09-03 00:00:00
    STATUS:   ACTIVE
  • 2020-09-03 00:00:00
    STATUS:   ACTIVE
  • 2020-09-03 00:00:00
    STATUS:   ACTIVE