INV-COVID-19 VACCINE (MODERNA 6MO-5YR) 25MCG/0.25ML INJ,2.5ML (31934)    VA PRODUCT (50.68)

Name Value
NAME INV-COVID-19 VACCINE (MODERNA 6MO-5YR) 25MCG/0.25ML INJ,2.5ML
VA GENERIC NAME COVID-19 VACCINE
DOSAGE FORM INJ,SUSP
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2023-05-01 00:00:00
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:   2022-05-05 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME INV-COVID-19 VACC (MODERNA 6MO-5YR) INJ
VA PRODUCT IDENTIFIER I0736
TRANSMIT TO CMOP NO
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID YES
VUID 4041380
EFFECTIVE DATE/TIME
  • 2022-05-05 00:00:00
    STATUS:   ACTIVE
  • 2023-05-01 00:00:00
    STATUS:   INACTIVE