STAPHAGE LYSATE (SPL) SOLN,AMP,1ML (12334)    VA PRODUCT (50.68)

Name Value
NAME STAPHAGE LYSATE (SPL) SOLN,AMP,1ML
VA GENERIC NAME STAPHAGE LYSATE
DOSAGE FORM INJ,SOLN
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2008-09-02 00:00:00
DSS NUMBER 1
NATIONAL FORMULARY NAME STAPHAGE LYSATE SOLN
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
VA PRINT NAME STAPHAGE LYSATE (SPL) SOLN AMP 1ML
VA PRODUCT IDENTIFIER S0182
TRANSMIT TO CMOP NO
VA DISPENSE UNIT AMP
MASTER ENTRY FOR VUID YES
VUID 4012700
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2008-09-02 00:00:00
    STATUS:   INACTIVE