ASCIMINIB 40MG TAB (31540)    VA PRODUCT (50.68)

Name Value
NAME ASCIMINIB 40MG TAB
VA GENERIC NAME ASCIMINIB
DOSAGE FORM TAB
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
STRENGTH 40
UNITS MG
NATIONAL FORMULARY NAME ASCIMINIB TAB
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2021-11-12 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME ASCIMINIB 40MG TAB
VA PRODUCT IDENTIFIER A2110
TRANSMIT TO CMOP NO
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4040937
EFFECTIVE DATE/TIME
  • 2021-11-12 00:00:00
    STATUS:   ACTIVE