AUTOINJECTOR,INTERFERON BETA-1B (EXTAVIA) (31333)    VA PRODUCT (50.68)

Name Value
NAME AUTOINJECTOR,INTERFERON BETA-1B (EXTAVIA)
VA GENERIC NAME INJECTOR
DOSAGE FORM DEVICE
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME INJECTOR DEVICE
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-07-28 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME AUTOINJECTOR,INTERFER BETA-1B (EXTAVIA)
VA PRODUCT IDENTIFIER XK806
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040707
EFFECTIVE DATE/TIME
  • 2021-07-28 00:00:00
    STATUS:   ACTIVE
  • 2021-07-28 00:00:00
    STATUS:   ACTIVE