MENINGOCOCCAL POLYSACC CONJUGATE VACCINE (MENQUADFI) INJ,SOLN (30425) VA PRODUCT (50.68)

Name	Value
NAME	MENINGOCOCCAL POLYSACC CONJUGATE VACCINE (MENQUADFI) INJ,SOLN
VA GENERIC NAME	MENINGOCOCCAL POLYSACCHARIDE CONJUGATE
DOSAGE FORM	INJ,SOLN
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	MENINGOCOCCAL POLYSACCHARIDE VACCINE GROUP A MENINGOCOCCAL POLYSACCHARIDE VACCINE GROUP C MENINGOCOCCAL POLYSACCHARIDE VACCINE GROUP W-135 TETANUS TOXOID
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	MENINGOCOCCAL POLYSACCHARIDE CONJUGATE INJ,SOLN
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 0 COPAY EFFECTIVE DATE: 2020-09-23 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	MENINGOCOCCAL POLY CONJ (MENQUADFI) INJ
VA PRODUCT IDENTIFIER	M1244
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	VI
MASTER ENTRY FOR VUID	YES
VUID	4039716
EFFECTIVE DATE/TIME	2020-09-24 00:00:00 STATUS: ACTIVE 2020-09-24 00:00:00 STATUS: ACTIVE 2020-09-24 00:00:00 STATUS: ACTIVE