INFLUENZA VIRUS VACCINE HIGH-DOSE (SPLIT VIRUS),SYRINGE,0.5ML (21626)    VA PRODUCT (50.68)

Name Value
NAME INFLUENZA VIRUS VACCINE HIGH-DOSE (SPLIT VIRUS),SYRINGE,0.5ML
VA GENERIC NAME INFLUENZA
DOSAGE FORM INJ
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Single source
NATIONAL FORMULARY NAME INFLUENZA 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 INFLUENZA VACCINE HIGH DOSE 0.5ML SYR
VA PRODUCT IDENTIFIER I0506
TRANSMIT TO CMOP NO
VA DISPENSE UNIT SYR
MASTER ENTRY FOR VUID YES
VUID 4029795
EFFECTIVE DATE/TIME
  • 2010-05-12 00:00:00
    STATUS:   ACTIVE