HEMOPHILUS B CONJUGATE VACCINE (TETANUS TOXOID CONJUGATE) (1711)    VA PRODUCT (50.68)

Name Value
NAME HEMOPHILUS B CONJUGATE VACCINE (TETANUS TOXOID CONJUGATE)
VA GENERIC NAME HAEMOPHILUS B
DOSAGE FORM INJ,LYPHL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2004-06-15 00:00:00
DSS NUMBER 4
NATIONAL FORMULARY NAME HEMOPHILUS B 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 HEMOPHILUS B TETANUS TOX CONJ VACCINE
VA PRODUCT IDENTIFIER H0257
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4002297
EFFECTIVE DATE/TIME
  • 2004-06-15 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE