INV-CASIRIVIMAB 300/IMDEVIMAB 300MG/VI,KIT,2 (31536)    VA PRODUCT (50.68)

Name Value
NAME INV-CASIRIVIMAB 300/IMDEVIMAB 300MG/VI,KIT,2
VA GENERIC NAME CASIRIVIMAB/IMDEVIMAB
DOSAGE FORM INJ,SOLN
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Single source
NATIONAL FORMULARY NAME CASIRIVIMAB/IMDEVIMAB INJ,SOLN
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-11-12 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME INV-CASIRIVIMAB 300/IMDEVIMAB 300MG/VI 2
VA PRODUCT IDENTIFIER I0722
TRANSMIT TO CMOP NO
VA DISPENSE UNIT KIT
MASTER ENTRY FOR VUID YES
VUID 4040938
EFFECTIVE DATE/TIME
  • 2021-11-12 00:00:00
    STATUS:   ACTIVE