| NAME |
ZOSTER VACCINE,RECOMBINANT,ADJUVANTED INJ,KIT |
| VA GENERIC NAME |
ZOSTER VACCINE |
| DOSAGE FORM |
INJ,LYPHL |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| NATIONAL FORMULARY INDICATOR |
YES |
| CS FEDERAL SCHEDULE |
Unscheduled |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| NATIONAL FORMULARY NAME |
ZOSTER VACCINE INJ,LYPHL |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2017-12-01 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
ZOSTER VACCINE,RECOMBINANT INJ |
| VA PRODUCT IDENTIFIER |
Z0114 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
KIT |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4037039 |
| EFFECTIVE DATE/TIME |
-
- 2017-11-02 00:00:00
- STATUS: ACTIVE
|
