| NAME |
SERMORELIN ACETATE 50MCG/AMP INJ |
| VA GENERIC NAME |
SERMORELIN ACETATE |
| DOSAGE FORM |
INJ,LYPHL |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
50 |
| INACTIVATION DATE |
2011-05-26 00:00:00 |
| UNITS |
MCG/VIL |
| DSS NUMBER |
1 |
| NATIONAL FORMULARY NAME |
SERMORELIN ACETATE INJ,LYPHL |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| CODING SYSTEM |
|
| 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 |
4009263 |
| EFFECTIVE DATE/TIME |
-
- 2005-03-10 00:00:00
- STATUS: ACTIVE
-
- 2011-05-26 00:00:00
- STATUS: INACTIVE
|
