ARTESUNATE 110MG/VIAL INJ,PWDR (31060)    VA PRODUCT (50.68)

Name Value
NAME ARTESUNATE 110MG/VIAL INJ,PWDR
VA GENERIC NAME ARTESUNATE
DOSAGE FORM INJ,PWDR
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
STRENGTH 110
UNITS MG/VIAL
NATIONAL FORMULARY NAME ARTESUNATE INJ,PWDR
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:   2021-04-29 00:00:00
    COPAY END DATE:   2021-05-19 00:00:00
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2021-05-20 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME ARTESUNATE 110MG/VIAL PWDR INJ
VA PRODUCT IDENTIFIER A2088
TRANSMIT TO CMOP NO
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID YES
VUID 4040402
EFFECTIVE DATE/TIME
  • 2021-04-29 00:00:00
    STATUS:   ACTIVE
  • 2021-04-29 00:00:00
    STATUS:   ACTIVE
  • 2021-04-29 00:00:00
    STATUS:   ACTIVE