| NAME |
GONADORELIN ACETATE 3.2MG/VIL INJ |
| VA GENERIC NAME |
GONADORELIN |
| DOSAGE FORM |
INJ,LYPHL |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
3.2 |
| INACTIVATION DATE |
2009-05-20 00:00:00 |
| UNITS |
MG/VIAL |
| DSS NUMBER |
4 |
| NATIONAL FORMULARY NAME |
GONADORELIN INJ,LYPHL |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- 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 |
4005002 |
| EFFECTIVE DATE/TIME |
-
- 2005-03-10 00:00:00
- STATUS: ACTIVE
-
- 2009-05-20 00:00:00
- STATUS: INACTIVE
|
