INV-CASIRIVIMAB 120MG/ML INJ,SOLN (30579)    VA PRODUCT (50.68)

Name Value
NAME INV-CASIRIVIMAB 120MG/ML INJ,SOLN
VA GENERIC NAME CASIRIVIMAB
DOSAGE FORM INJ,SOLN
HAZARDOUS TO DISPOSE NO
FORMULARY DESIGNATOR TEXT
 
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 120
SINGLE/MULTI SOURCE PRODUCT Single source
UNITS MG/ML
NATIONAL FORMULARY NAME CASIRIVIMAB INJ,SOLN
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2020-12-03 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME INV-CASIRIVIMAB 120MG/ML SOLN INJ
VA PRODUCT IDENTIFIER I0695
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4039881
EFFECTIVE DATE/TIME
  • 2020-12-03 00:00:00
    STATUS:   ACTIVE
  • 2020-12-03 00:00:00
    STATUS:   ACTIVE
  • 2020-12-03 00:00:00
    STATUS:   ACTIVE