| NAME |
INV-BEBTELOVIMAB 87.5MG/ML INJ,VIL,2ML |
| VA GENERIC NAME |
BEBTELOVIMAB |
| DOSAGE FORM |
INJ,SOLN |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
87.5 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| INACTIVATION DATE |
2022-11-30 00:00:00 |
| UNITS |
MG/ML |
| NATIONAL FORMULARY NAME |
BEBTELOVIMAB INJ,SOLN |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2022-02-24 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
INV-BEBTELOVIMAB 87.5MG/ML INJ VIL 2ML |
| VA PRODUCT IDENTIFIER |
I0731 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
VI |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4041180 |
| EFFECTIVE DATE/TIME |
-
- 2022-02-24 00:00:00
- STATUS: ACTIVE
-
- 2022-11-30 00:00:00
- STATUS: INACTIVE
|
