DOXORUBICIN HCL 5MG/ML/NACL 0.9% INJ (6903) VA PRODUCT (50.68)

Name	Value
NAME	DOXORUBICIN HCL 5MG/ML/NACL 0.9% INJ
VA GENERIC NAME	DOXORUBICIN/SODIUM CHLORIDE
DOSAGE FORM	INJ
HAZARDOUS TO DISPOSE	NO
FORMULARY DESIGNATOR	PA-F
FORMULARY DESIGNATOR TEXT	Restrict to Hematology/Oncology
ACTIVE INGREDIENTS	SODIUM CHLORIDE STRENGTH: 0.9 UNITS: % DOXORUBICIN HYDROCHLORIDE STRENGTH: 5 UNITS: MG/ML
NATIONAL FORMULARY INDICATOR	YES
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	5
INACTIVATION DATE	2007-09-19 00:00:00
UNITS	MG/ML
DSS NUMBER	1
NATIONAL FORMULARY NAME	DOXORUBICIN/SODIUM CHLORIDE INJ
CREATE DEFAULT POSSIBLE DOSAGE	YES
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	4007415
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-19 00:00:00 STATUS: INACTIVE