ETOPOSIDE 20MG/ML INJ,VIL,10ML (3243)    VA PRODUCT (50.68)

Name Value
NAME ETOPOSIDE 20MG/ML INJ,VIL,10ML
VA GENERIC NAME ETOPOSIDE
DOSAGE FORM INJ,SOLN
HAZARDOUS TO DISPOSE NO
FORMULARY DESIGNATOR PA-F
FORMULARY DESIGNATOR TEXT 
Restrict to Hematology/Oncology
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR YES
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 200
INACTIVATION DATE 2009-05-20 00:00:00
UNITS MG/VIAL
DSS NUMBER 3
NATIONAL FORMULARY NAME ETOPOSIDE INJ,SOLN
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME ETOPOSIDE 20MG/ML INJ VIL 10ML
VA PRODUCT IDENTIFIER E0227
TRANSMIT TO CMOP NO
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID YES
VUID 4003813
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2009-05-20 00:00:00
    STATUS:   INACTIVE