RAXIBACUMAB 50MG/ML INJ,VIL,34ML (31296)    VA PRODUCT (50.68)

Name Value
NAME RAXIBACUMAB 50MG/ML INJ,VIL,34ML
VA GENERIC NAME RAXIBACUMAB
DOSAGE FORM INJ,SOLN
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 50
SINGLE/MULTI SOURCE PRODUCT Single source
UNITS MG/ML
NATIONAL FORMULARY NAME RAXIBACUMAB 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:   2021-07-15 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME RAXIBACUMAB 50MG/ML INJ,VIL,34ML
VA PRODUCT IDENTIFIER R0432
TRANSMIT TO CMOP NO
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID YES
VUID 4040667
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