| NAME |
DALTEPARIN NA 2500UNT/ML INJ,4ML |
| VA GENERIC NAME |
DALTEPARIN |
| DOSAGE FORM |
INJ,SOLN |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| STRENGTH |
2500 |
| UNITS |
UNIT/ML |
| NATIONAL FORMULARY NAME |
DALTEPARIN INJ,SOLN |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2022-10-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
DALTEPARIN NA 2500UNT/ML INJ 4ML |
| VA PRODUCT IDENTIFIER |
D1297 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
VI |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4041780 |
| EFFECTIVE DATE/TIME |
-
- 2022-10-27 00:00:00
- STATUS: ACTIVE
|
