DIPHTH,PERTUSS(ACELL),TET VACCINE 2-2.5-5/0.5ML INJ,SUSP (17730) VA PRODUCT (50.68)

Name	Value
NAME	DIPHTH,PERTUSS(ACELL),TET VACCINE 2-2.5-5/0.5ML INJ,SUSP
VA GENERIC NAME	DIPHTHERIA TOXOID/PERTUSSIS VACCINE/TETANUS TOXOID
DOSAGE FORM	INJ,SUSP
ACTIVE INGREDIENTS	PERTUSSIS VACCINE,ACELLULAR STRENGTH: 2.5 UNITS: UNIT/0.5ML DIPHTHERIA TOXOID STRENGTH: 2 UNITS: UNIT/0.5ML TETANUS TOXOID STRENGTH: 5 UNITS: UNIT/0.5ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2009-05-20 00:00:00
NATIONAL FORMULARY NAME	DIPHTHERIA TOXOID/PERTUSSIS VACCINE/TETANUS TOXOID INJ,SUSP
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 2-2.5-5 INJ
VA PRODUCT IDENTIFIER	D0702
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	VI
MASTER ENTRY FOR VUID	YES
VUID	4025342
EFFECTIVE DATE/TIME	2006-07-20 00:00:00 STATUS: ACTIVE 2009-05-20 00:00:00 STATUS: INACTIVE