IDARUBICIN HCL 5MG/VIL INJ (8853)    VA PRODUCT (50.68)

Name Value
NAME IDARUBICIN HCL 5MG/VIL INJ
VA GENERIC NAME IDARUBICIN
DOSAGE FORM INJ,LYPHL
HAZARDOUS TO DISPOSE NO
FORMULARY DESIGNATOR PA-F
FORMULARY DESIGNATOR TEXT 
Restrict to Hematology/Oncology
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR YES
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 5
INACTIVATION DATE 2008-07-01 00:00:00
UNITS MG/VIAL
DSS NUMBER 1
NATIONAL FORMULARY NAME IDARUBICIN INJ,LYPHL
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 4009310
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-20 00:00:00
    STATUS:   INACTIVE
  • 2007-10-10 00:00:00
    STATUS:   ACTIVE
  • 2008-07-01 00:00:00
    STATUS:   INACTIVE