ADUCANUMAB-AVWA 100MG/ML INJ,SOLN 1.7ML (31231)    VA PRODUCT (50.68)

Name Value
NAME ADUCANUMAB-AVWA 100MG/ML INJ,SOLN 1.7ML
VA GENERIC NAME ADUCANUMAB-AVWA
DOSAGE FORM INJ,SOLN
FDA MED GUIDE Aducanumab-avwa_(Aduhelm)_(2023).pdf
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
STRENGTH 100
UNITS MG/ML
NATIONAL FORMULARY NAME ADUCANUMAB-AVWA 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:   2021-06-24 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME ADUCANUMAB-AVWA 100MG/ML SOLN INJ 1.7ML
VA PRODUCT IDENTIFIER A2093
TRANSMIT TO CMOP NO
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID YES
VUID 4040597
EFFECTIVE DATE/TIME
  • 2021-06-24 00:00:00
    STATUS:   ACTIVE
  • 2021-06-24 00:00:00
    STATUS:   ACTIVE
  • 2021-06-24 00:00:00
    STATUS:   ACTIVE
  • 2021-06-24 00:00:00
    STATUS:   ACTIVE