FOSNETUPITANT 235MG/PALONOSETRON 0.25MG/20ML INJ,SOLN (30407)    VA PRODUCT (50.68)

Name Value
NAME FOSNETUPITANT 235MG/PALONOSETRON 0.25MG/20ML INJ,SOLN
VA GENERIC NAME FOSNETUPITANT/PALONOSETRON
DOSAGE FORM INJ,SOLN
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
NATIONAL FORMULARY NAME FOSNETUPITANT/PALONOSETRON 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:   2020-09-10 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME FOSNETUPITANT 235/PALONOSETRON 0.25MG VI
VA PRODUCT IDENTIFIER F0704
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4039699
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