DENGUE TETRAVALENT VACCINE,LIVE INJ,KIT (31475)    VA PRODUCT (50.68)

Name Value
NAME DENGUE TETRAVALENT VACCINE,LIVE INJ,KIT
VA GENERIC NAME DENGUE VACCINE
DOSAGE FORM INJ,LYPHL
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Single source
NATIONAL FORMULARY NAME DENGUE VACCINE INJ,LYPHL
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-10-14 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DENGUE TETRAVALENT VACCINE,LIVE INJ KIT
VA PRODUCT IDENTIFIER D1271
TRANSMIT TO CMOP NO
VA DISPENSE UNIT KIT
MASTER ENTRY FOR VUID YES
VUID 4040866
EFFECTIVE DATE/TIME
  • 2021-10-14 00:00:00
    STATUS:   ACTIVE
  • 2021-10-14 00:00:00
    STATUS:   ACTIVE
  • 2021-10-14 00:00:00
    STATUS:   ACTIVE
  • 2021-10-14 00:00:00
    STATUS:   ACTIVE