DILUENT,FOR CARMUSTINE (ETHANOL) (32663)    VA PRODUCT (50.68)

Name Value
NAME DILUENT,FOR CARMUSTINE (ETHANOL)
VA GENERIC NAME DILUENT
DOSAGE FORM INJ
HAZARDOUS TO DISPOSE NO
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Single source
NATIONAL FORMULARY NAME DILUENT INJ
CREATE DEFAULT POSSIBLE DOSAGE YES
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2023-04-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DILUENT,FOR CARMUSTINE (ETHANOL)
VA PRODUCT IDENTIFIER D1323
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4042200
EFFECTIVE DATE/TIME
  • 2023-04-27 00:00:00
    STATUS:   ACTIVE