| NAME |
MENINGOCOCCAL B VACCINE (TRUMENBA) INJ,SUSP,0.5ML,SYR |
| VA GENERIC NAME |
MENINGOCOCCAL B |
| DOSAGE FORM |
INJ,SUSP |
| FORMULARY DESIGNATOR TEXT |
Restricted to ACIP recommendations
|
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| NATIONAL FORMULARY NAME |
MENINGOCOCCAL B INJ,SUSP |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
MENINGOCOCCAL B (TRUMENBA) INJ SYR 0.5ML |
| VA PRODUCT IDENTIFIER |
M1046 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
SYR |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4034189 |
| EFFECTIVE DATE/TIME |
-
- 2015-02-17 00:00:00
- STATUS: ACTIVE
|
