| NAME |
AVACOPAN 10MG CAP,ORAL |
| VA GENERIC NAME |
AVACOPAN |
| DOSAGE FORM |
CAP,ORAL |
| FDA MED GUIDE |
Avacopan_(Tavneos)_(2021).pdf |
| HAZARDOUS TO DISPOSE |
NO |
| FORMULARY DESIGNATOR TEXT |
|
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
10 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| UNITS |
MG |
| NATIONAL FORMULARY NAME |
AVACOPAN CAP,ORAL |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2021-10-21 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
AVACOPAN 10MG ORAL CAP |
| VA PRODUCT IDENTIFIER |
A2108 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
CAP |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4040888 |
| EFFECTIVE DATE/TIME |
-
- 2021-10-21 00:00:00
- STATUS: ACTIVE
-
- 2021-10-21 00:00:00
- STATUS: ACTIVE
-
- 2021-10-21 00:00:00
- STATUS: ACTIVE
-
- 2021-10-21 00:00:00
- STATUS: ACTIVE
|
