HEPATITIS A 720 EL.U/HEPATITIS B 20MCG/1ML VACCINE INJ (15181) VA PRODUCT (50.68)

Name	Value
NAME	HEPATITIS A 720 EL.U/HEPATITIS B 20MCG/1ML VACCINE INJ
VA GENERIC NAME	HEPATITIS A/HEPATITIS B
DOSAGE FORM	INJ,SUSP
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	HEPATITIS A VACCINE (INACTIVATED) STRENGTH: 720 UNITS: EL.U./ML HEPATITIS B VACCINE (RECOMBINANT) STRENGTH: 20 UNITS: MCG/ML
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
INACTIVATION DATE	2018-01-11 00:00:00
NATIONAL FORMULARY NAME	HEPATITIS A/HEPATITIS B 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
VA PRINT NAME	HEPATITIS A&B (720/20) VACCINE INJ
VA PRODUCT IDENTIFIER	H0405
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4015545
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2018-01-11 00:00:00 STATUS: INACTIVE