PNEUMOCOCCAL 20-VALENT CONJUGATE VACCINE (31292)    VA PRODUCT (50.68)

Name Value
NAME PNEUMOCOCCAL 20-VALENT CONJUGATE VACCINE
VA GENERIC NAME PNEUMOCOCCAL VACCINE
DOSAGE FORM INJ
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Single source
NATIONAL FORMULARY NAME PNEUMOCOCCAL VACCINE INJ
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:   2021-07-15 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME PNEUMOCOCCAL 20-VALENT CONJUGATE VACCINE
VA PRODUCT IDENTIFIER P1293
TRANSMIT TO CMOP NO
VA DISPENSE UNIT SYR
MASTER ENTRY FOR VUID YES
VUID 4040666
EFFECTIVE DATE/TIME
  • 2021-07-15 00:00:00
    STATUS:   ACTIVE
  • 2021-07-15 00:00:00
    STATUS:   ACTIVE
  • 2021-07-15 00:00:00
    STATUS:   ACTIVE