FERRIC DERISOMALTOSE 100MG/ML INJ,10ML (30405)    VA PRODUCT (50.68)

Name Value
NAME FERRIC DERISOMALTOSE 100MG/ML INJ,10ML
VA GENERIC NAME FERRIC DERISOMALTOSE
DOSAGE FORM INJ
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 100
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MG/ML
NATIONAL FORMULARY NAME FERRIC DERISOMALTOSE 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:   2020-09-10 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME FERRIC DERISOMALTOSE 100MG/ML INJ 10ML
VA PRODUCT IDENTIFIER F0703
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4039696
EFFECTIVE DATE/TIME
  • 2020-09-10 00:00:00
    STATUS:   ACTIVE
  • 2020-09-10 00:00:00
    STATUS:   ACTIVE
  • 2020-09-10 00:00:00
    STATUS:   ACTIVE