PONATINIB 10MG TAB (30686)    VA PRODUCT (50.68)

Name Value
NAME PONATINIB 10MG TAB
VA GENERIC NAME PONATINIB
DOSAGE FORM TAB
FDA MED GUIDE Ponatinib_(Iclusig)_(2022).pdf
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
STRENGTH 10
UNITS MG
NATIONAL FORMULARY NAME PONATINIB TAB
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2021-02-04 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME PONATINIB 10MG TAB
VA PRODUCT IDENTIFIER P1285
TRANSMIT TO CMOP NO
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4040007
EFFECTIVE DATE/TIME
  • 2021-02-04 00:00:00
    STATUS:   ACTIVE
  • 2021-02-04 00:00:00
    STATUS:   ACTIVE
  • 2021-02-04 00:00:00
    STATUS:   ACTIVE