ISOLEUCINE 1.38GM/LEUCINE 1.38GM/VALINE 1.24GM/100ML INJ (6878)    VA PRODUCT (50.68)

Name Value
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
  • RxNorm
    CODE:
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