HAEMOPHILUS B 7.5/HEPATITIS 5MCG/0.5ML VACCINE (RECOMB) INJ (15178)    VA PRODUCT (50.68)

Name Value
NAME HAEMOPHILUS B 7.5/HEPATITIS 5MCG/0.5ML VACCINE (RECOMB) INJ
VA GENERIC NAME HAEMOPHILUS B/HEPATITIS B
DOSAGE FORM INJ
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2006-07-05 00:00:00
NATIONAL FORMULARY NAME HAEMOPHILUS B/HEPATITIS B 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 HAEMOPHILUS B 7.5/HEP A 5MCG/0.5ML INJ
VA PRODUCT IDENTIFIER H0407
TRANSMIT TO CMOP YES
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID YES
VUID 4015542
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2006-07-05 00:00:00
    STATUS:   INACTIVE