| NAME |
PEANUT ALLERGEN-DNFP 12MG (LEVEL 3) POWDER,ORAL,PKT,45 |
| VA GENERIC NAME |
PEANUT ALLERGEN-DNFP |
| DOSAGE FORM |
POWDER,ORAL |
| FDA MED GUIDE |
Peanut_allergen-dnfp_(Palforzia)_(2020).pdf |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| NATIONAL FORMULARY NAME |
PEANUT ALLERGEN-DNFP POWDER,ORAL |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2020-02-21 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
PEANUT ALLER 12MG (LEVEL 3) ORAL,PKT,45 |
| VA PRODUCT IDENTIFIER |
P1259 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
PKT |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4039182 |
| EFFECTIVE DATE/TIME |
-
- 2020-02-25 00:00:00
- STATUS: ACTIVE
|
