SELEXIPAG 1800MCG/VIL INJ,LYPHL (31384)    VA PRODUCT (50.68)

Name Value
NAME SELEXIPAG 1800MCG/VIL INJ,LYPHL
VA GENERIC NAME SELEXIPAG
DOSAGE FORM INJ,LYPHL
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 1800
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MCG/VIL
NATIONAL FORMULARY NAME SELEXIPAG INJ,LYPHL
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:   2021-08-26 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME SELEXIPAG 1800MCG/VIL LYPHL INJ
VA PRODUCT IDENTIFIER S0936
TRANSMIT TO CMOP NO
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID YES
VUID 4040766
EFFECTIVE DATE/TIME
  • 2021-08-26 00:00:00
    STATUS:   ACTIVE
  • 2021-08-26 00:00:00
    STATUS:   ACTIVE