| NAME |
PEGFILGRASTIM-CBQV 6MG/0.6ML AUTOINJECTOR |
| VA GENERIC NAME |
PEGFILGRASTIM-CBQV |
| DOSAGE FORM |
INJ,SOLN |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
6 |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| UNITS |
MG/0.6ML |
| NATIONAL FORMULARY NAME |
PEGFILGRASTIM-CBQV INJ,SOLN |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2023-05-18 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
PEGFILGRASTIM-CBQV 6MG/0.6ML AUTOINJECT |
| VA PRODUCT IDENTIFIER |
P1326 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4042244 |
| EFFECTIVE DATE/TIME |
-
- 2023-05-18 00:00:00
- STATUS: ACTIVE
|
