| NAME |
ALLERGENIC EXTRACT,MIXED ANTIGENS PATCH |
| VA GENERIC NAME |
ALLERGENIC EXTRACT |
| DOSAGE FORM |
PATCH |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| INACTIVATION DATE |
2023-02-15 00:00:00 |
| NATIONAL FORMULARY NAME |
ALLERGENIC EXTRACT PATCH |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
ALLERGENIC EXTRACT,MIXED ANTIGENS PATCH |
| VA PRODUCT IDENTIFIER |
A1601 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
PATCH |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4030957 |
| EFFECTIVE DATE/TIME |
-
- 2011-09-12 00:00:00
- STATUS: ACTIVE
-
- 2023-02-15 00:00:00
- STATUS: INACTIVE
|
