IBREXAFUNGERP 150MG TAB,PKT,4 (31291)    VA PRODUCT (50.68)

Name Value
NAME IBREXAFUNGERP 150MG TAB,PKT,4
VA GENERIC NAME IBREXAFUNGERP
DOSAGE FORM TAB
FDA MED GUIDE Ibrexafungerp_(Brexafemme)_(2022).pdf
HAZARDOUS TO DISPOSE NO
FORMULARY DESIGNATOR TEXT
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 150
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MG
NATIONAL FORMULARY NAME IBREXAFUNGERP TAB
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2021-07-15 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME IBREXAFUNGERP 150MG TAB PKT 4
VA PRODUCT IDENTIFIER I0714
TRANSMIT TO CMOP NO
VA DISPENSE UNIT PKT
MASTER ENTRY FOR VUID YES
VUID 4040662
EFFECTIVE DATE/TIME
  • 2021-07-15 00:00:00
    STATUS:   ACTIVE
  • 2021-07-15 00:00:00
    STATUS:   ACTIVE
  • 2021-07-15 00:00:00
    STATUS:   ACTIVE