IOXAGLATE MEGLUMINE 393MG/IOXAGLATE NA 196 MG/ML INJ,SYR,125ML (3468)    VA PRODUCT (50.68)

Name Value
NAME IOXAGLATE MEGLUMINE 393MG/IOXAGLATE NA 196 MG/ML INJ,SYR,125ML
VA GENERIC NAME IOXAGLATE
DOSAGE FORM INJ,SOLN
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2008-09-02 00:00:00
DSS NUMBER 2
NATIONAL FORMULARY NAME IOXAGLATE INJ,SOLN
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
VA PRINT NAME HEXABRIX INJ SYRINGE 125ML
VA PRODUCT IDENTIFIER H0292
TRANSMIT TO CMOP NO
VA DISPENSE UNIT SYRINGE
MASTER ENTRY FOR VUID YES
VUID 4004031
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2008-09-02 00:00:00
    STATUS:   INACTIVE