ALPHA-1-PROTEINASE INHIBITOR,HUMAN 50MG/ML INJ (31024)    VA PRODUCT (50.68)

Name Value
NAME ALPHA-1-PROTEINASE INHIBITOR,HUMAN 50MG/ML INJ
VA GENERIC NAME ALPHA-1-PROTEINASE INHIBITOR,HUMAN
DOSAGE FORM INJ,SOLN
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 50
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MG/ML
NATIONAL FORMULARY NAME ALPHA-1-PROTEINASE INHIBITOR,HUMAN 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:   2021-04-16 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME ALPHA-1-PROTEINASE INHIBIT 50MG/ML INJ
VA PRODUCT IDENTIFIER A2087
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4040368
EFFECTIVE DATE/TIME
  • 2021-04-19 00:00:00
    STATUS:   ACTIVE
  • 2021-04-19 00:00:00
    STATUS:   ACTIVE
  • 2021-04-19 00:00:00
    STATUS:   ACTIVE