| NAME |
CANDIDA ALBICANS/HISTOPLASMIN INJ TEST KIT |
| VA GENERIC NAME |
CANDIDA/HISTOPLASMIN |
| DOSAGE FORM |
INJ |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| INACTIVATION DATE |
2003-08-29 00:00:00 |
| DSS NUMBER |
1 |
| NATIONAL FORMULARY NAME |
CANDIDA/HISTOPLASMIN INJ |
| 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 |
CANDIDA ALBICANS/HISTOPLASMN IJ TEST KIT |
| VA PRODUCT IDENTIFIER |
C0756 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
KIT |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4013140 |
| EFFECTIVE DATE/TIME |
-
- 2003-08-29 00:00:00
- STATUS: INACTIVE
-
- 2005-12-08 00:00:00
- STATUS: INACTIVE
|
