VINBLASTINE SO4 1MG/ML/NACL 0.9% INJ (9520) VA PRODUCT (50.68)

Name	Value
NAME	VINBLASTINE SO4 1MG/ML/NACL 0.9% INJ
VA GENERIC NAME	SODIUM CHLORIDE/VINBLASTINE
DOSAGE FORM	INJ
FORMULARY DESIGNATOR	PA-F
FORMULARY DESIGNATOR TEXT	Restrict to Hematology/Oncology
ACTIVE INGREDIENTS	SODIUM CHLORIDE STRENGTH: 9 UNITS: MG/ML BENZYL ALCOHOL STRENGTH: 0.9 UNITS: % VINBLASTINE SULFATE STRENGTH: 1 UNITS: MG/ML
NATIONAL FORMULARY INDICATOR	YES
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	1
INACTIVATION DATE	2008-07-02 00:00:00
UNITS	MG/ML
DSS NUMBER	1
NATIONAL FORMULARY NAME	SODIUM CHLORIDE/VINBLASTINE 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	4009940
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2008-07-02 00:00:00 STATUS: INACTIVE