DIPHTH,PERTUSS(ACELL),TET PED 2.5-8-5/0.5 INJ,SUSP,0.5ML,SYR (17604)    VA PRODUCT (50.68)

Name Value
NAME DIPHTH,PERTUSS(ACELL),TET PED 2.5-8-5/0.5 INJ,SUSP,0.5ML,SYR
VA GENERIC NAME DIPHTHERIA TOXOID/PERTUSSIS VACCINE/TETANUS TOXOID
DOSAGE FORM INJ,SUSP
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2009-05-20 00:00:00
NATIONAL FORMULARY NAME DIPHTH,PERTUSS(ACELL),TET PED 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 DIPHTH,PERTUSS(ACELL),TET PED INJ,0.5ML
VA PRODUCT IDENTIFIER D0692
TRANSMIT TO CMOP YES
VA DISPENSE UNIT SYR
MASTER ENTRY FOR VUID YES
VUID 4025136
EFFECTIVE DATE/TIME
  • 2006-05-22 00:00:00
    STATUS:   ACTIVE
  • 2009-05-20 00:00:00
    STATUS:   INACTIVE
  • 2009-05-20 00:00:00
    STATUS:   INACTIVE
  • 2009-05-20 00:00:00
    STATUS:   INACTIVE
  • 2009-05-20 00:00:00
    STATUS:   INACTIVE
  • 2009-05-20 00:00:00
    STATUS:   INACTIVE