| NAME |
OMNITROPE PEN DEVICE |
| VA GENERIC NAME |
OMNITROPE PEN |
| DOSAGE FORM |
DEVICE |
| HAZARDOUS TO DISPOSE |
NO |
| CS FEDERAL SCHEDULE |
Unscheduled |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| NATIONAL FORMULARY NAME |
OMNITROPE PEN DEVICE |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2021-09-13 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
OMNITROPE PEN DEVICE |
| VA PRODUCT IDENTIFIER |
XK855 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4040797 |
| EFFECTIVE DATE/TIME |
-
- 2021-09-14 00:00:00
- STATUS: ACTIVE
-
- 2021-09-14 00:00:00
- STATUS: ACTIVE
-
- 2021-09-14 00:00:00
- STATUS: ACTIVE
|
