PONESIMOD (PONVORY) 14-DAY STARTER PACK (30955)    VA PRODUCT (50.68)

Name Value
NAME PONESIMOD (PONVORY) 14-DAY STARTER PACK
VA GENERIC NAME PONESIMOD
DOSAGE FORM TAB,ORAL
FDA MED GUIDE Ponesimod_(Ponvory)_(2021).pdf
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Single source
NATIONAL FORMULARY NAME PONESIMOD TAB,ORAL
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE 1x Possible Dosage
PACKAGE Both Inpatient and Outpatient
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2021-04-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME PONESIMOD (PONVORY) 14-DAY STARTER PACK
VA PRODUCT IDENTIFIER P1287
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4040297
EFFECTIVE DATE/TIME
  • 2021-04-01 00:00:00
    STATUS:   ACTIVE
  • 2021-04-01 00:00:00
    STATUS:   ACTIVE
  • 2021-04-01 00:00:00
    STATUS:   ACTIVE