INV-COVID-19 VACCINE ADJ (NOVAVAX) (PF) INJ,5ML (31230)    VA PRODUCT (50.68)

Name Value
NAME INV-COVID-19 VACCINE ADJ (NOVAVAX) (PF) INJ,5ML
VA GENERIC NAME COVID-19 VACCINE
DOSAGE FORM INJ,SUSP
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
NATIONAL FORMULARY NAME COVID-19 VACCINE INJ,SUSP
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-06-24 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME INV-COVID-19 VACC (NOVAVAX) INJ 5ML
VA PRODUCT IDENTIFIER I0713
TRANSMIT TO CMOP NO
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID YES
VUID 4040599
EFFECTIVE DATE/TIME
  • 2021-06-24 00:00:00
    STATUS:   ACTIVE
  • 2021-06-24 00:00:00
    STATUS:   ACTIVE
  • 2021-06-24 00:00:00
    STATUS:   ACTIVE
  • 2021-06-24 00:00:00
    STATUS:   ACTIVE
  • 2021-11-15 00:00:00
    STATUS:   INACTIVE
  • 2022-08-02 00:00:00
    STATUS:   ACTIVE