ZOSTER VACCINE LIVE (OKA/MERCK) INJ (17690)    VA PRODUCT (50.68)

Name Value
NAME ZOSTER VACCINE LIVE (OKA/MERCK) INJ
VA GENERIC NAME ZOSTER VACCINE
DOSAGE FORM INJ,LYPHL
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Single source
NATIONAL FORMULARY NAME ZOSTER VACCINE 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 ZOSTER VACCINE LIVE (OKA/MERCK) INJ
VA PRODUCT IDENTIFIER Z0072
TRANSMIT TO CMOP NO
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID YES
VUID 4025302
EFFECTIVE DATE/TIME
  • 2006-07-20 00:00:00
    STATUS:   ACTIVE