| NAME |
ALLERGENIC EXTRACT, ASPERGILLUS FUMIGATUS 20000UNIT/ML INJ |
| VA GENERIC NAME |
ALLERGENIC EXTRACT, FUNGI, ASPERGILLUS FUMIGATUS |
| DOSAGE FORM |
INJ |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
20000 |
| INACTIVATION DATE |
2019-12-16 00:00:00 |
| UNITS |
UNIT/ML |
| NATIONAL FORMULARY NAME |
ALLERGENIC EXTRACT, FUNGI, ASPERGILLUS FUMIGATUS INJ |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| 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 EXT, ASPER FUMI 20000UNIT/ML |
| VA PRODUCT IDENTIFIER |
A1824 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
ML |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4034716 |
| EFFECTIVE DATE/TIME |
-
- 2015-08-14 00:00:00
- STATUS: ACTIVE
-
- 2019-12-16 00:00:00
- STATUS: INACTIVE
|
