| NAME |
ISOLEUCINE 1.38GM/LEUCINE 1.38GM/VALINE 1.24GM/100ML INJ |
| VA GENERIC NAME |
ISOLEUCINE/LEUCINE/VALINE |
| DOSAGE FORM |
INJ |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| INACTIVATION DATE |
2012-05-03 00:00:00 |
| DSS NUMBER |
1 |
| NATIONAL FORMULARY NAME |
ISOLEUCINE/LEUCINE/VALINE INJ |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 0
- 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 |
4007391 |
| EFFECTIVE DATE/TIME |
-
- 2005-03-10 00:00:00
- STATUS: ACTIVE
-
- 2012-05-03 00:00:00
- STATUS: INACTIVE
|