ANIFROLUMAB-FNIA 150MG/ML INJ,SOLN (31366)    VA PRODUCT (50.68)

Name Value
NAME ANIFROLUMAB-FNIA 150MG/ML INJ,SOLN
VA GENERIC NAME ANIFROLUMAB-FNIA
DOSAGE FORM INJ,SOLN
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 150
SINGLE/MULTI SOURCE PRODUCT Single source
UNITS MG/ML
NATIONAL FORMULARY NAME ANIFROLUMAB-FNIA 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:   2021-08-13 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME ANIFROLUMAB-FNIA 150MG/ML INJ
VA PRODUCT IDENTIFIER A2103
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4040744
EFFECTIVE DATE/TIME
  • 2021-08-13 00:00:00
    STATUS:   ACTIVE
  • 2021-08-13 00:00:00
    STATUS:   ACTIVE
  • 2021-08-13 00:00:00
    STATUS:   ACTIVE