TENIPOSIDE 10MG/ML INJ,CONC (9856) VA PRODUCT (50.68)

Name	Value
NAME	TENIPOSIDE 10MG/ML INJ,CONC
VA GENERIC NAME	TENIPOSIDE
DOSAGE FORM	INJ,CONC
HAZARDOUS TO DISPOSE	NO
FORMULARY DESIGNATOR	PA-F
FORMULARY DESIGNATOR TEXT	Restrict to Hematology/Oncology
ACTIVE INGREDIENTS	ALCOHOL,DEHYDRATED STRENGTH: 42.7 UNITS: % TENIPOSIDE STRENGTH: 10 UNITS: MG/ML CASTOR OIL,POLYOXYETHYLATED STRENGTH: 500 UNITS: MG/ML N,N-DIMETHYLACETAMIDE STRENGTH: 60 UNITS: MG/ML BENZYL ALCOHOL STRENGTH: 30 UNITS: MG/ML
NATIONAL FORMULARY INDICATOR	YES
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	10
SINGLE/MULTI SOURCE PRODUCT	Single source
UNITS	MG/ML
DSS NUMBER	1
NATIONAL FORMULARY NAME	TENIPOSIDE INJ,CONC
CREATE DEFAULT POSSIBLE DOSAGE	NO
POSSIBLE DOSAGES TO CREATE	No Possible Dosages
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
VA PRINT NAME	TENIPOSIDE 10MG/ML INJ,CONC
VA PRODUCT IDENTIFIER	T1083
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4010255
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE