INFLUENZA SUBVIRON VACCINE,'99-'00,VIL,5ML (13469)    VA PRODUCT (50.68)

Name Value
NAME INFLUENZA SUBVIRON VACCINE,'99-'00,VIL,5ML
VA GENERIC NAME INFLUENZA
DOSAGE FORM INJ
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 45
INACTIVATION DATE 2002-10-30 00:00:00
UNITS MCG/0.5ML
NATIONAL FORMULARY NAME INFLUENZA 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 INFLUENZA SUBVIRON '99-'00 VIL 5ML
VA PRODUCT IDENTIFIER I0280
TRANSMIT TO CMOP NO
VA DISPENSE UNIT VIL
MASTER ENTRY FOR VUID YES
VUID 4013834
EFFECTIVE DATE/TIME
  • 2002-10-30 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE