DIPHTHERIA TOXOID 12.5UNT/TETANUS TOXOID 5UNT/0.5ML INJ (1403) VA PRODUCT (50.68)

Name	Value
NAME	DIPHTHERIA TOXOID 12.5UNT/TETANUS TOXOID 5UNT/0.5ML INJ
VA GENERIC NAME	DIPHTHERIA TOXOID/TETANUS TOXOID
DOSAGE FORM	INJ,SUSP
ACTIVE INGREDIENTS	DIPHTHERIA TOXOID STRENGTH: 12.5 UNITS: UNIT/0.5ML TETANUS TOXOID STRENGTH: 5 UNITS: UNIT/0.5ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2018-04-16 00:00:00
DSS NUMBER	8
NATIONAL FORMULARY NAME	DIPHTHERIA TOXOID/TETANUS TOXOID INJ,SUSP
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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4002003
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2018-04-16 00:00:00 STATUS: INACTIVE