INV-COVID 19 (MODERNA) BIVALENT BOOSTER,50MCG/0.5ML,INJ,2.5ML (32213)    VA PRODUCT (50.68)

Name Value
NAME INV-COVID 19 (MODERNA) BIVALENT BOOSTER,50MCG/0.5ML,INJ,2.5ML
VA GENERIC NAME COVID-19 VACCINE
DOSAGE FORM INJ,SUSP
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
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:   2022-09-08 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME INV-COVID 19 (MODERNA) BIVAL BOOST 2.5ML
VA PRODUCT IDENTIFIER I0743
TRANSMIT TO CMOP NO
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID YES
VUID 4041680
EFFECTIVE DATE/TIME
  • 2022-09-08 00:00:00
    STATUS:   ACTIVE