VINCRISTINE SO4 1MG/MANNITOL 100MG/ML (PF) INJ (712)    VA PRODUCT (50.68)

Name Value
NAME VINCRISTINE SO4 1MG/MANNITOL 100MG/ML (PF) INJ
VA GENERIC NAME VINCRISTINE
DOSAGE FORM INJ
HAZARDOUS TO DISPOSE NO
FORMULARY DESIGNATOR PA-F
FORMULARY DESIGNATOR TEXT
Restrict to Hematology/Oncology, Gynecologic Oncology
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR YES
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 1
INACTIVATION DATE 2008-07-02 00:00:00
UNITS MG/ML
DSS NUMBER 3
NATIONAL FORMULARY NAME VINCRISTINE 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
TRANSMIT TO CMOP NO
MASTER ENTRY FOR VUID YES
VUID 4001323
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-28 00:00:00
    STATUS:   INACTIVE
  • 2007-10-10 00:00:00
    STATUS:   ACTIVE
  • 2008-07-02 00:00:00
    STATUS:   INACTIVE