| NAME |
INV-CILGAVIMAB 150MG/TIXAGEVIMAB 150MG/1.5ML INJ,SOLN KIT,2 |
| VA GENERIC NAME |
CILGAVIMAB/TIXAGEVIMAB |
| DOSAGE FORM |
INJ,SOLN |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
150 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| INACTIVATION DATE |
2023-01-27 00:00:00 |
| UNITS |
MG/1.5ML |
| NATIONAL FORMULARY NAME |
CILGAVIMAB/TIXAGEVIMAB INJ,SOLN |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2021-12-16 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
INV-CILGAVIMAB/TIXAGEV 150MG/1.5ML KIT 2 |
| VA PRODUCT IDENTIFIER |
I0724 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
KIT |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4041042 |
| EFFECTIVE DATE/TIME |
-
- 2021-12-16 00:00:00
- STATUS: ACTIVE
-
- 2023-01-27 00:00:00
- STATUS: INACTIVE
|
