| NAME |
FACTOR VIII,FC-VWF-XTEN,BDD-EHTL 4000UNT/VIL,INJ,KIT |
| VA GENERIC NAME |
ANTIHEMOPHILIC FACTOR |
| DOSAGE FORM |
INJ,LYPHL |
| HAZARDOUS TO DISPOSE |
NO |
| PRIMARY EPA CODE |
Derived from Human Cells |
| WASTE SORT CODE |
BIOHAZARDOUS |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
4000 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| UNITS |
UNIT |
| NATIONAL FORMULARY NAME |
ANTIHEMOPHILIC FACTOR INJ,LYPHL |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| COPAY TIER |
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2023-03-16 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
ALTUVIIIO 4000UNIT/VIL INJ KIT |
| VA PRODUCT IDENTIFIER |
A2161 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
KIT |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4042107 |
| EFFECTIVE DATE/TIME |
-
- 2023-03-16 00:00:00
- STATUS: ACTIVE
|
