HYALURONIDASE 200UNT/ML INJ (17421)    VA PRODUCT (50.68)

Name Value
NAME HYALURONIDASE 200UNT/ML INJ
VA GENERIC NAME HYALURONIDASE
DOSAGE FORM INJ
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 200
INACTIVATION DATE 2009-01-26 00:00:00
UNITS UNIT/ML
NATIONAL FORMULARY NAME HYALURONIDASE 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
VA PRINT NAME HYALURONIDASE 200UNT/ML INJ
VA PRODUCT IDENTIFIER H0471
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4024853
EFFECTIVE DATE/TIME
  • 2006-01-24 00:00:00
    STATUS:   ACTIVE
  • 2009-01-26 00:00:00
    STATUS:   INACTIVE
  • 2009-01-26 00:00:00
    STATUS:   INACTIVE
  • 2009-01-26 00:00:00
    STATUS:   INACTIVE