FACTOR IX COMPLEX,HUMAN INJ (4600)    VA PRODUCT (50.68)

Name Value
NAME FACTOR IX COMPLEX,HUMAN INJ
VA GENERIC NAME FACTOR IX COMPLEX,HUMAN
DOSAGE FORM INJ
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR YES
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Single source
DSS NUMBER 1
NATIONAL FORMULARY NAME FACTOR IX COMPLEX,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 FACTOR IX COMPLEX,HUMAN INJ
VA PRODUCT IDENTIFIER F0687
TRANSMIT TO CMOP NO
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID YES
VUID 4005147
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE