PAPILLOMAVIRUS HUMAN BIVALENT VACCINE INJ,SYRINGE,0.5ML (21423)    VA PRODUCT (50.68)

Name Value
NAME PAPILLOMAVIRUS HUMAN BIVALENT VACCINE INJ,SYRINGE,0.5ML
VA GENERIC NAME PAPILLOMAVIRUS HUMAN
DOSAGE FORM INJ,SUSP
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Single source
NATIONAL FORMULARY NAME PAPILLOMAVIRUS HUMAN 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 PAPILLOMAVIRUS BIVALENT VACC INJ 0.5ML
VA PRODUCT IDENTIFIER P0942
TRANSMIT TO CMOP NO
VA DISPENSE UNIT SYR
MASTER ENTRY FOR VUID YES
VUID 4029570
EFFECTIVE DATE/TIME
  • 2010-02-09 00:00:00
    STATUS:   ACTIVE
  • 2011-05-04 00:00:00
    STATUS:   INACTIVE
  • 2011-05-05 00:00:00
    STATUS:   ACTIVE