GLOBULIN,IMMUNE (IV) 5%/MALTOSE 10% INJ (2743)    VA PRODUCT (50.68)

Name Value
NAME GLOBULIN,IMMUNE (IV) 5%/MALTOSE 10% INJ
VA GENERIC NAME GLOBULIN,IMMUNE
DOSAGE FORM INJ
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 5
INACTIVATION DATE 2010-07-13 00:00:00
UNITS %
DSS NUMBER 5
NATIONAL FORMULARY NAME GLOBULIN,IMMUNE 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 GLOBULIN,IMMUNE (IV) 5%/MALTOSE 10% INJ
VA PRODUCT IDENTIFIER G0329
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4003322
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-28 00:00:00
    STATUS:   INACTIVE
  • 2007-10-10 00:00:00
    STATUS:   ACTIVE
  • 2008-09-02 00:00:00
    STATUS:   INACTIVE
  • 2008-09-12 00:00:00
    STATUS:   ACTIVE
  • 2010-07-13 00:00:00
    STATUS:   INACTIVE