IOTHALAMATE MEGLUMINE 60% KIT (3366) VA PRODUCT (50.68)

Name	Value
NAME	IOTHALAMATE MEGLUMINE 60% KIT
VA GENERIC NAME	IOTHALAMATE
DOSAGE FORM	KIT
ACTIVE INGREDIENTS	ALCOHOL,ISOPROPYL STRENGTH: 70 UNITS: % IOTHALAMATE MEGLUMINE STRENGTH: 60 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
DSS NUMBER	8
NATIONAL FORMULARY NAME	IOTHALAMATE KIT
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 0 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4003936
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE