JAPANESE ENCEPHALITIS VIRUS VACCINE (12964)    VA PRODUCT (50.68)

Name Value
NAME JAPANESE ENCEPHALITIS VIRUS VACCINE
VA GENERIC NAME JAPANESE ENCEPHALITIS VIRUS VACCINE
DOSAGE FORM INJ
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Single source
INACTIVATION DATE 2016-01-22 00:00:00
NATIONAL FORMULARY NAME JAPANESE ENCEPHALITIS VIRUS VACCINE INJ
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 JAPANESE ENCEPHALITIS VIRUS VACCINE
VA PRODUCT IDENTIFIER J0002
TRANSMIT TO CMOP YES
VA DISPENSE UNIT SYR
MASTER ENTRY FOR VUID YES
VUID 4013329
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE