HEPATITIS A VACCINE,INACTIVATED 720 EL.U./0.5ML INJ,VIL,0.5ML (12396)    VA PRODUCT (50.68)

Name Value
NAME HEPATITIS A VACCINE,INACTIVATED 720 EL.U./0.5ML INJ,VIL,0.5ML
VA GENERIC NAME HEPATITIS A
DOSAGE FORM INJ,SUSP
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 720
SINGLE/MULTI SOURCE PRODUCT Single source
INACTIVATION DATE 2019-07-15 00:00:00
UNITS EL.U./0.5ML
DSS NUMBER 8
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 720 EL.U./0.5ML VACCINE INJ VIL
VA PRODUCT IDENTIFIER H0572
TRANSMIT TO CMOP NO
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID YES
VUID 4012762
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2019-07-15 00:00:00
    STATUS:   INACTIVE
  • 2019-07-15 00:00:00
    STATUS:   INACTIVE