HYALURONIDASE 6200 UNIT/VIL INJ (16847)    VA PRODUCT (50.68)

Name Value
NAME HYALURONIDASE 6200 UNIT/VIL INJ
VA GENERIC NAME HYALURONIDASE
DOSAGE FORM INJ,LYPHL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 6200
INACTIVATION DATE 2009-01-26 00:00:00
UNITS UNT/VIL
NATIONAL FORMULARY NAME HYALURONIDASE INJ,LYPHL
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 HYALURONIDASE 6200 UNIT/VIL INJ
VA PRODUCT IDENTIFIER H0449
TRANSMIT TO CMOP YES
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID YES
VUID 4017210
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2009-01-26 00:00:00
    STATUS:   INACTIVE
  • 2009-01-26 00:00:00
    STATUS:   INACTIVE