ANTIHEMOPHILIC FACTOR,HUMAN INJ (4599)    VA PRODUCT (50.68)

Name Value
NAME ANTIHEMOPHILIC FACTOR,HUMAN INJ
VA GENERIC NAME ANTIHEMOPHILIC FACTOR,HUMAN
DOSAGE FORM INJ
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
DSS NUMBER 1
NATIONAL FORMULARY NAME ANTIHEMOPHILIC FACTOR,HUMAN INJ
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 ANTIHEMOPHILIC FACTOR,HUMAN INJ
VA PRODUCT IDENTIFIER A2100
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4005146
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE