DOSTARLIMAB-GXLY 50MG/ML INJ,SOLN (31097)    VA PRODUCT (50.68)

Name Value
NAME DOSTARLIMAB-GXLY 50MG/ML INJ,SOLN
VA GENERIC NAME DOSTARLIMAB-GXLY
DOSAGE FORM INJ,SOLN
FDA MED GUIDE Dostarlimab-gxly_(Jemperli)_(2023).pdf
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 50
SINGLE/MULTI SOURCE PRODUCT Single source
UNITS MG/ML
NATIONAL FORMULARY NAME DOSTARLIMAB-GXLY 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:   2021-05-06 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DOSTARLIMAB-GXLY 50MG/ML SOLN INJ
VA PRODUCT IDENTIFIER D1262
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4040443
EFFECTIVE DATE/TIME
  • 2021-05-06 00:00:00
    STATUS:   ACTIVE
  • 2021-05-06 00:00:00
    STATUS:   ACTIVE
  • 2021-05-06 00:00:00
    STATUS:   ACTIVE