HEPATITIS A VACCINE,INACTIVATED 720 EL.U./0.5ML INJ,SYR-TL,0.5ML (12399)    VA PRODUCT (50.68)

Name Value
NAME HEPATITIS A VACCINE,INACTIVATED 720 EL.U./0.5ML INJ,SYR-TL,0.5ML
VA GENERIC NAME HEPATITIS A
DOSAGE FORM INJ,SUSP
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 720
INACTIVATION DATE 2010-01-19 00:00:00
UNITS EL.U./0.5ML
DSS NUMBER 11
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 IJ SYR-TL
VA PRODUCT IDENTIFIER H0347
TRANSMIT TO CMOP NO
VA DISPENSE UNIT SYRINGE
MASTER ENTRY FOR VUID YES
VUID 4012765
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2010-01-19 00:00:00
    STATUS:   INACTIVE