| NAME |
DIPHTHERIA TOXOID/MENINGOCOCCAL POLYSACC INJ VACCINE,0.5ML,SYR |
| VA GENERIC NAME |
DIPHTHERIA TOXOID/MENINGOCOCCAL |
| DOSAGE FORM |
INJ,SUSP |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| INACTIVATION DATE |
2010-12-07 00:00:00 |
| NATIONAL FORMULARY NAME |
DIPHTHERIA TOXOID/MENINGOCOCCAL INJ,SUSP |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
DIPHTHERIA/MENINGOCOCCAL VACCINE SYR |
| VA PRODUCT IDENTIFIER |
D0797 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
SYR |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4028450 |
| EFFECTIVE DATE/TIME |
-
- 2009-03-12 00:00:00
- STATUS: ACTIVE
-
- 2010-12-07 00:00:00
- STATUS: INACTIVE
|
