VINCRISTINE SO4 1MG/MANNITOL 100MG/ML INJ (713) VA PRODUCT (50.68)

Name	Value
NAME	VINCRISTINE SO4 1MG/MANNITOL 100MG/ML 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	VINCRISTINE SULFATE STRENGTH: 1 UNITS: MG/ML SODIUM ACETATE MANNITOL STRENGTH: 100 UNITS: MG/ML ACETIC ACID WATER FOR INJECTION
NATIONAL FORMULARY INDICATOR	YES
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	1
INACTIVATION DATE	2008-07-02 00:00:00
UNITS	MG/ML
DSS NUMBER	4
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
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4001324
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2008-07-02 00:00:00 STATUS: INACTIVE