ADRENOCORTICOTROPIN (ACTH 1-18),I-125 (TYR) 40UNT/ML INJ (7777)    VA PRODUCT (50.68)

Name Value
NAME ADRENOCORTICOTROPIN (ACTH 1-18),I-125 (TYR) 40UNT/ML INJ
VA GENERIC NAME ADRENOCORTICOTROPIN (ACTH 1-18),I-125 (TYR)
DOSAGE FORM INJ,REPOSITORY
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 40
INACTIVATION DATE 2007-09-28 00:00:00
UNITS UNIT/ML
DSS NUMBER 1
NATIONAL FORMULARY NAME ADRENOCORTICOTROPIN (ACTH 1-18),I-125 (TYR) INJ,REPOSITORY
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 4008255
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-28 00:00:00
    STATUS:   INACTIVE