INV-COVID-19 (MODERNA-6M-5Y) BIVALENT BOOSTER 10MCG/0.2ML,0.4ML (32311)    VA PRODUCT (50.68)

Name Value
NAME INV-COVID-19 (MODERNA-6M-5Y) BIVALENT BOOSTER 10MCG/0.2ML,0.4ML
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:   2022-11-03 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME INV-COVID 19 (MODERNA-6M-5Y)BIVALENT INJ
VA PRODUCT IDENTIFIER I0754
TRANSMIT TO CMOP NO
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID YES
VUID 4041795
EFFECTIVE DATE/TIME
  • 2022-11-03 00:00:00
    STATUS:   ACTIVE