LEUPROLIDE ACETATE 1MG/0.2ML INJ (6831)    VA PRODUCT (50.68)

Name Value
NAME LEUPROLIDE ACETATE 1MG/0.2ML INJ
VA GENERIC NAME LEUPROLIDE
DOSAGE FORM INJ
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 1
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MG/0.2ML
DSS NUMBER 1
NATIONAL FORMULARY NAME LEUPROLIDE 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
VA PRINT NAME LEUPROLIDE ACETATE 1MG/0.2ML INJ
VA PRODUCT IDENTIFIER L0010
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4007346
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2008-12-15 00:00:00
    STATUS:   INACTIVE
  • 2008-12-15 00:00:00
    STATUS:   INACTIVE
  • 2009-01-09 00:00:00
    STATUS:   ACTIVE