EVINACUMAB-DGNB 150MG/ML INJ,SOLN (30780)    VA PRODUCT (50.68)

Name Value
NAME EVINACUMAB-DGNB 150MG/ML INJ,SOLN
VA GENERIC NAME EVINACUMAB-DGNB
DOSAGE FORM INJ,SOLN
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
STRENGTH 150
UNITS MG/ML
NATIONAL FORMULARY NAME EVINACUMAB-DGNB 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:   2021-02-26 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME EVINACUMAB-DGNB 150MG/ML SOLN INJ
VA PRODUCT IDENTIFIER E0829
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4040112
EFFECTIVE DATE/TIME
  • 2021-02-26 00:00:00
    STATUS:   ACTIVE
  • 2021-02-26 00:00:00
    STATUS:   ACTIVE
  • 2021-02-26 00:00:00
    STATUS:   ACTIVE