| NAME |
HEPATITIS B IMMUNE GLOBULIN (IM) INJ,SYRINGE,1ML |
| VA GENERIC NAME |
HEPATITIS B IMMUNE GLOBULIN |
| DOSAGE FORM |
INJ |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| NATIONAL FORMULARY NAME |
HEPATITIS B IMMUNE GLOBULIN INJ |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2020-04-20 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
HEPATITIS B GLOBULIN (IM) INJ SYR 1ML |
| VA PRODUCT IDENTIFIER |
H0747 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
SYRINGE |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4039306 |
| EFFECTIVE DATE/TIME |
-
- 2020-04-20 00:00:00
- STATUS: ACTIVE
|
