GLOBULIN,IMMUNE (SQ) 10GM/HYALURONIDASE 800UNIT INJ,SOLN,KIT (27399) VA PRODUCT (50.68)

Name	Value
NAME	GLOBULIN,IMMUNE (SQ) 10GM/HYALURONIDASE 800UNIT INJ,SOLN,KIT
VA GENERIC NAME	GLOBULIN,IMMUNE/HYALURONIDASE
DOSAGE FORM	INJ,SOLN
ACTIVE INGREDIENTS	GLOBULIN,IMMUNE STRENGTH: 10 UNITS: GM/KIT HYALURONIDASE STRENGTH: 800 UNITS: UNIT/KIT
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	GLOBULIN,IMMUNE/HYALURONIDASE INJ,SOLN
CREATE DEFAULT POSSIBLE DOSAGE	NO
POSSIBLE DOSAGES TO CREATE	No Possible Dosages
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	HYQVIA 10GM-800UNIT INJ SOLN KIT
VA PRODUCT IDENTIFIER	H0704
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	KIT
MASTER ENTRY FOR VUID	YES
VUID	4036307
EFFECTIVE DATE/TIME	2016-12-30 00:00:00 STATUS: ACTIVE