IMMUNE GLOBULIN PLASMA BOVINE (ENTERAGAM),PWDR,PKT (27604)    VA PRODUCT (50.68)

Name Value
NAME IMMUNE GLOBULIN PLASMA BOVINE (ENTERAGAM),PWDR,PKT
VA GENERIC NAME GLOBULIN,IMMUNE PLASMA BOVINE
DOSAGE FORM POWDER,ORAL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2021-03-15 00:00:00
NATIONAL FORMULARY NAME GLOBULIN,IMMUNE PLASMA BOVINE POWDER,ORAL
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2017-05-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME ENTERAGAM PWDR PKT
VA PRODUCT IDENTIFIER E0706
TRANSMIT TO CMOP NO
VA DISPENSE UNIT PKT
MASTER ENTRY FOR VUID YES
VUID 4036531
EFFECTIVE DATE/TIME
  • 2017-03-30 00:00:00
    STATUS:   ACTIVE
  • 2021-03-15 00:00:00
    STATUS:   INACTIVE
  • 2021-03-15 00:00:00
    STATUS:   INACTIVE
  • 2021-03-15 00:00:00
    STATUS:   INACTIVE