GONADOTROPIN,CHORIONIC 1000UNT/MANNITOL 10MG/ML INJ (4941) VA PRODUCT (50.68)

Name	Value
NAME	GONADOTROPIN,CHORIONIC 1000UNT/MANNITOL 10MG/ML INJ
VA GENERIC NAME	GONADOTROPIN,CHORIONIC/MANNITOL
DOSAGE FORM	INJ
ACTIVE INGREDIENTS	GONADOTROPIN,CHORIONIC STRENGTH: 10000 UNITS: UNT/VIL MANNITOL STRENGTH: 100
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	10000
INACTIVATION DATE	2011-05-26 00:00:00
UNITS	UNT/VIL
DSS NUMBER	4
NATIONAL FORMULARY NAME	GONADOTROPIN,CHORIONIC/MANNITOL INJ
CREATE DEFAULT POSSIBLE DOSAGE	NO
POSSIBLE DOSAGES TO CREATE	No Possible Dosages
CODING SYSTEM	RxNorm CODE:
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	4005482
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2011-05-26 00:00:00 STATUS: INACTIVE