| NAME |
HEMOPHILUS B POLYSACCHARIDE VACCINE 25MCG/0.5ML INJ |
| VA GENERIC NAME |
HAEMOPHILUS B |
| DOSAGE FORM |
INJ |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
25 |
| INACTIVATION DATE |
2007-06-03 00:00:00 |
| UNITS |
MCG/0.5ML |
| DSS NUMBER |
1 |
| NATIONAL FORMULARY NAME |
HEMOPHILUS B INJ |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| 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 |
4002294 |
| EFFECTIVE DATE/TIME |
-
- 2005-03-10 00:00:00
- STATUS: ACTIVE
-
- 2007-06-03 00:00:00
- STATUS: INACTIVE
|
