| NAME |
DIPHTHERIA TOXOID/TETANUS TOXOID ADSORBED (ADULT) INJ,SYR,0.5ML |
| VA GENERIC NAME |
DIPHTHERIA TOXOID/TETANUS TOXOID |
| DOSAGE FORM |
INJ |
| HAZARDOUS TO DISPOSE |
NO |
| PRIMARY EPA CODE |
D009-MERCURY |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| NATIONAL FORMULARY NAME |
DIPHTHERIA TOXOID/TETANUS TOXOID INJ |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2022-10-17 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
DIPHTH TOX/TET TOX ADOSRBED (ADULT) SYR |
| VA PRODUCT IDENTIFIER |
D1295 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
SYR |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4041755 |
| EFFECTIVE DATE/TIME |
-
- 2022-10-17 00:00:00
- STATUS: ACTIVE
|
