ROTAVIRUS TETRAVALENT VACCINE LIVE SOLN,ORAL,KIT,2.5ML (13013)    VA PRODUCT (50.68)

Name Value
NAME ROTAVIRUS TETRAVALENT VACCINE LIVE SOLN,ORAL,KIT,2.5ML
VA GENERIC NAME ROTAVIRUS
DOSAGE FORM KIT
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 2.5
INACTIVATION DATE 1999-10-27 00:00:00
UNITS ML
NATIONAL FORMULARY NAME ROTAVIRUS KIT
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 ROTAVIRUS TETRAVALENT VACCINE KIT 2.5ML
VA PRODUCT IDENTIFIER R0100
TRANSMIT TO CMOP NO
VA DISPENSE UNIT KIT
MASTER ENTRY FOR VUID YES
VUID 4013378
EFFECTIVE DATE/TIME
  • 1999-10-27 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE