POLIOVIRUS VACCINE INACTIVATED INJ (1713)    VA PRODUCT (50.68)

Name Value
NAME POLIOVIRUS VACCINE INACTIVATED INJ
VA GENERIC NAME POLIOVIRUS VACCINE
DOSAGE FORM INJ
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2012-09-27 00:00:00
DSS NUMBER 2
NATIONAL FORMULARY NAME POLIOVIRUS VACCINE INJ
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
TRANSMIT TO CMOP NO
MASTER ENTRY FOR VUID YES
VUID 4002299
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2012-09-27 00:00:00
    STATUS:   INACTIVE