| NAME |
ETRANACOGENE DEZAPARVOVEC-DRLB INJ,SUSP |
| VA GENERIC NAME |
ETRANACOGENE DEZAPARVOVEC-DRLB |
| DOSAGE FORM |
INJ,SUSP |
| HAZARDOUS TO DISPOSE |
NO |
| PRIMARY EPA CODE |
Derived from Human Cells |
| WASTE SORT CODE |
BIOHAZARDOUS |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| NATIONAL FORMULARY NAME |
ETRANACOGENE DEZAPARVOVEC-DRLB INJ,SUSP |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2022-12-08 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
ETRANACOGENE DEZAPARVOVEC-DRLB SUSP INJ |
| VA PRODUCT IDENTIFIER |
E0862 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
ML |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4041877 |
| EFFECTIVE DATE/TIME |
-
- 2022-12-08 00:00:00
- STATUS: ACTIVE
|
