GLOBULIN,IMMUNE (IV) 12GM/VIL INJ (2750)    VA PRODUCT (50.68)

Name Value
NAME GLOBULIN,IMMUNE (IV) 12GM/VIL INJ
VA GENERIC NAME GLOBULIN,IMMUNE
DOSAGE FORM INJ
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 12
INACTIVATION DATE 2010-07-13 00:00:00
UNITS GM/VIAL
DSS NUMBER 12
NATIONAL FORMULARY NAME GLOBULIN,IMMUNE INJ,SOLN
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) 12GM/VIL
VA PRODUCT IDENTIFIER G0307
TRANSMIT TO CMOP NO
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID YES
VUID 4003329
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