
| Name | Value |
|---|---|
| NAME | IOXAGLATE MEGLUMINE 393/IOXAGLATE NA 196MG/ML INJ |
| VA GENERIC NAME | IOXAGLATE |
| DOSAGE FORM | INJ,SOLN |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE | Unscheduled |
| DSS NUMBER | 1 |
| NATIONAL FORMULARY NAME | IOXAGLATE INJ,SOLN |
| CREATE DEFAULT POSSIBLE DOSAGE | YES |
| CODING SYSTEM |
|
| COPAY TIER |
|
| PGX ELIGIBLE | NO |
| PGX SUPPRESSED | NO |
| TRANSMIT TO CMOP | NO |
| MASTER ENTRY FOR VUID | YES |
| VUID | 4004030 |
| EFFECTIVE DATE/TIME |
|