INFANRIX INJ,SUSP (15925)    VA PRODUCT (50.68)

Name Value
NAME INFANRIX INJ,SUSP
VA GENERIC NAME DIPHTHERIA TOXOID/PERTUSSIS VACCINE/TETANUS TOXOID
DOSAGE FORM INJ,SUSP
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Single source
INACTIVATION DATE 2021-10-18 00:00:00
NATIONAL FORMULARY NAME DIPHTHERIA TOXOID/PERTUSSIS VACCINE/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
VA PRINT NAME INFANRIX SUSP INJ
VA PRODUCT IDENTIFIER I0349
TRANSMIT TO CMOP NO
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID YES
VUID 4016288
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2021-10-18 00:00:00
    STATUS:   INACTIVE
  • 2021-10-18 00:00:00
    STATUS:   INACTIVE
  • 2021-10-18 00:00:00
    STATUS:   INACTIVE
  • 2021-10-18 00:00:00
    STATUS:   INACTIVE