ANTIVENIN,CENTRUROIDES IMMUNE FAB2 120MG/VIL INJ (22705)    VA PRODUCT (50.68)

Name Value
NAME ANTIVENIN,CENTRUROIDES IMMUNE FAB2 120MG/VIL INJ
VA GENERIC NAME CENTRUROIDES ANTIVENIN
DOSAGE FORM INJ,LYPHL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 120
SINGLE/MULTI SOURCE PRODUCT Single source
INACTIVATION DATE 2020-12-15 00:00:00
UNITS MG/VIAL
NATIONAL FORMULARY NAME CENTRUROIDES ANTIVENIN INJ,LYPHL
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
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 ANTIVENIN CENTRUROIDES IMMUNE FAB2 INJ
VA PRODUCT IDENTIFIER A1637
TRANSMIT TO CMOP NO
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID YES
VUID 4031040
EFFECTIVE DATE/TIME
  • 2011-10-11 00:00:00
    STATUS:   ACTIVE
  • 2020-12-15 00:00:00
    STATUS:   INACTIVE
  • 2020-12-15 00:00:00
    STATUS:   INACTIVE
  • 2020-12-15 00:00:00
    STATUS:   INACTIVE