TECHNETIUM Tc 99m NOFETUMOMAB MERPENTAN INJ (7456)    VA PRODUCT (50.68)

Name Value
NAME TECHNETIUM Tc 99m NOFETUMOMAB MERPENTAN INJ
VA GENERIC NAME TECHNETIUM,TC-99M
DOSAGE FORM INJ
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 555-1110
UNITS MBQ/VIL
DSS NUMBER 4
NATIONAL FORMULARY NAME TECHNETIUM,TC-99M 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
VA PRINT NAME TECHNETIUM Tc99m NOFETUMOMAB MERPENTAN
VA PRODUCT IDENTIFIER T0376
TRANSMIT TO CMOP NO
VA DISPENSE UNIT KIT
MASTER ENTRY FOR VUID YES
VUID 4007960
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2008-09-02 00:00:00
    STATUS:   INACTIVE
  • 2008-11-06 00:00:00
    STATUS:   ACTIVE