PAPILLOMAVIRUS HUMAN BIVALENT VACCINE INJ (21424)    VA PRODUCT (50.68)

Name Value
NAME PAPILLOMAVIRUS HUMAN BIVALENT VACCINE INJ
VA GENERIC NAME PAPILLOMAVIRUS HUMAN
DOSAGE FORM INJ,SUSP
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Single source
INACTIVATION DATE 2015-07-16 00:00:00
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 VACCINE INJ
VA PRODUCT IDENTIFIER P0939
TRANSMIT TO CMOP NO
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID YES
VUID 4029571
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