| NAME |
HEPATITIS A VACCINE,INACTIVATED 1440 EL.U./ML INJ,SYR-TL,1ML |
| VA GENERIC NAME |
HEPATITIS A |
| DOSAGE FORM |
INJ,SUSP |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
1440 |
| INACTIVATION DATE |
2010-01-19 00:00:00 |
| UNITS |
EL.U./ML |
| DSS NUMBER |
12 |
| NATIONAL FORMULARY NAME |
HEPATITIS A INJ,SUSP |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| 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 1440 EL.U./ML VACCINE INJ SYR-TL |
| VA PRODUCT IDENTIFIER |
H0348 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
SYRINGE |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4012766 |
| EFFECTIVE DATE/TIME |
-
- 2005-03-10 00:00:00
- STATUS: ACTIVE
-
- 2010-01-19 00:00:00
- STATUS: INACTIVE
|
