STAPHAGE LYSATE (SPL) SOLN,VIL,10ML (12335)    VA PRODUCT (50.68)

Name Value
NAME STAPHAGE LYSATE (SPL) SOLN,VIL,10ML
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 2
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 VIL 10ML
VA PRODUCT IDENTIFIER S0183
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4012701
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2008-09-02 00:00:00
    STATUS:   INACTIVE