HAEMOPHILUS B 7.5/HEPATITIS B 5MCG/0.5ML VACCINE (RECOMB) INJ (17814)    VA PRODUCT (50.68)

Name Value
NAME HAEMOPHILUS B 7.5/HEPATITIS B 5MCG/0.5ML VACCINE (RECOMB) INJ
VA GENERIC NAME HAEMOPHILUS B/HEPATITIS B
DOSAGE FORM INJ
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Single source
INACTIVATION DATE 2016-04-04 00:00:00
NATIONAL FORMULARY NAME HAEMOPHILUS B/HEPATITIS B 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 HAEMOPHILUS B 7.5/HEP B 5MCG/0.5ML INJ
VA PRODUCT IDENTIFIER H0498
TRANSMIT TO CMOP YES
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID YES
VUID 4025426
EFFECTIVE DATE/TIME
  • 2006-07-20 00:00:00
    STATUS:   ACTIVE