ANTIVENIN,MICRURUS FULVIUS INJ (2732) VA PRODUCT (50.68)

Name	Value
NAME	ANTIVENIN,MICRURUS FULVIUS INJ
VA GENERIC NAME	MICRURUS FULVIUS ANTIVENIN
DOSAGE FORM	INJ
ACTIVE INGREDIENTS	PHENOL STRENGTH: 0.25 UNITS: % WATER,BACTERIOSTATIC INJECTION STRENGTH: 10 UNITS: ML ANTIVENIN,MICRURUS FULVIUS PHENYLMERCURIC NITRATE STRENGTH: 1:100000 THIMEROSAL STRENGTH: 0.005 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
DSS NUMBER	1
NATIONAL FORMULARY NAME	MICRURUS FULVIUS ANTIVENIN 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	ANTIVENIN MICRURUS FULVIUS INJ
VA PRODUCT IDENTIFIER	A0876
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	VI
MASTER ENTRY FOR VUID	YES
VUID	4003312
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE