TISSEEL VH TWO COMPONENT FIBRIN SEALANT KIT 2ML (17294) VA PRODUCT (50.68)

Name	Value
NAME	TISSEEL VH TWO COMPONENT FIBRIN SEALANT KIT 2ML
VA GENERIC NAME	TISSEEL
DOSAGE FORM	KIT
ACTIVE INGREDIENTS	THROMBIN STRENGTH: 500 UNITS: UNIT/ML FIBRINOLYSIN STRENGTH: 3000 UNITS: UNIT/ML FIBRINOGEN,I-125 STRENGTH: 75-115 UNITS: MG/ML CALCIUM CHLORIDE STRENGTH: 40 UNITS: MMO
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
INACTIVATION DATE	2021-03-15 00:00:00
NATIONAL FORMULARY NAME	TISSEEL KIT
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	TISSEEL VH 2-COMPONENT KIT 2ML
VA PRODUCT IDENTIFIER	T0598
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	EA
MASTER ENTRY FOR VUID	YES
VUID	4024726
EFFECTIVE DATE/TIME	2006-01-24 00:00:00 STATUS: ACTIVE 2021-03-15 00:00:00 STATUS: INACTIVE 2021-03-15 00:00:00 STATUS: INACTIVE 2021-03-15 00:00:00 STATUS: INACTIVE