HEPATITIS B IMMUNE GLOBULIN (IM) INJ (2435)    VA PRODUCT (50.68)

Name Value
NAME HEPATITIS B IMMUNE GLOBULIN (IM) INJ
VA GENERIC NAME HEPATITIS B IMMUNE GLOBULIN
DOSAGE FORM INJ
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Single source
DSS NUMBER 1
NATIONAL FORMULARY NAME HEPATITIS B IMMUNE GLOBULIN 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 HEPATITIS B IMMUNE GLOBULIN (IM) INJ
VA PRODUCT IDENTIFIER H0231
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4003017
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2005-08-31 00:00:00
    STATUS:   INACTIVE
  • 2005-08-31 00:00:00
    STATUS:   INACTIVE
  • 2007-07-24 00:00:00
    STATUS:   ACTIVE