DUPILUMAB 200MG/1.14ML INJ,SOLN,PEN (31276)    VA PRODUCT (50.68)

Name Value
NAME DUPILUMAB 200MG/1.14ML INJ,SOLN,PEN
VA GENERIC NAME DUPILUMAB
DOSAGE FORM INJ,SOLN
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 200
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MG/1.14ML
NATIONAL FORMULARY NAME DUPILUMAB 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:   2021-07-08 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DUPILUMAB 200MG/1.14ML INJ PEN
VA PRODUCT IDENTIFIER D1263
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040643
EFFECTIVE DATE/TIME
  • 2021-07-08 00:00:00
    STATUS:   ACTIVE
  • 2021-07-08 00:00:00
    STATUS:   ACTIVE
  • 2021-07-08 00:00:00
    STATUS:   ACTIVE