ALLERGENIC EXTRACT, ORALAIR 300 IR TAB,SL,PKT,30 (27286)    VA PRODUCT (50.68)

Name Value
NAME ALLERGENIC EXTRACT, ORALAIR 300 IR TAB,SL,PKT,30
VA GENERIC NAME ALLERGENIC EXTRACT
DOSAGE FORM TAB,SUBLINGUAL
FDA MED GUIDE Allergen_Extract_Mixed_Pollens_(Oralair)_(2016).pdf
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME ALLERGENIC EXTRACT TAB,SUBLINGUAL
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME ORALAIR 300 IR TAB,SL PKT 30
VA PRODUCT IDENTIFIER O0386
TRANSMIT TO CMOP NO
VA DISPENSE UNIT PKT
MASTER ENTRY FOR VUID YES
VUID 4036180
EFFECTIVE DATE/TIME
  • 2016-11-22 00:00:00
    STATUS:   ACTIVE