HEPATITIS A VACCINE,INACTIVATED 360 EL.U./0.5ML INJ,VIL,0.5ML (12389)    VA PRODUCT (50.68)

Name Value
NAME HEPATITIS A VACCINE,INACTIVATED 360 EL.U./0.5ML INJ,VIL,0.5ML
VA GENERIC NAME HEPATITIS A
DOSAGE FORM INJ,SUSP
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 360
INACTIVATION DATE 2010-01-19 00:00:00
UNITS EL.U./0.5ML
DSS NUMBER 1
NATIONAL FORMULARY NAME HEPATITIS A INJ,SUSP
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 HAVRIX 360 EL.U./0.5ML VACCINE INJ VIL
VA PRODUCT IDENTIFIER H0213
TRANSMIT TO CMOP NO
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID YES
VUID 4012755
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2010-01-19 00:00:00
    STATUS:   INACTIVE