INV-CASIRIVIMAB 300/IMDEVIMAB 1332MG/VI,KIT,5 (31192)    VA PRODUCT (50.68)

Name Value
NAME INV-CASIRIVIMAB 300/IMDEVIMAB 1332MG/VI,KIT,5
VA GENERIC NAME CASIRIVIMAB/IMDEVIMAB
DOSAGE FORM INJ,SOLN
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Single source
NATIONAL FORMULARY NAME CASIRIVIMAB/IMDEVIMAB INJ,SOLN
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-06-10 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME INV-CASIRIVIMAB 300/IMDEVIMAB1332MG/VI 5
VA PRODUCT IDENTIFIER I0705
TRANSMIT TO CMOP NO
VA DISPENSE UNIT KIT
MASTER ENTRY FOR VUID YES
VUID 4040555
EFFECTIVE DATE/TIME
  • 2021-06-10 00:00:00
    STATUS:   ACTIVE
  • 2021-06-10 00:00:00
    STATUS:   ACTIVE
  • 2021-06-10 00:00:00
    STATUS:   ACTIVE