ALBUMIN,AGGREGATED 0.03% (STERILE DILUENT) INJ (3326)    VA PRODUCT (50.68)

Name Value
NAME ALBUMIN,AGGREGATED 0.03% (STERILE DILUENT) INJ
VA GENERIC NAME ALBUMIN
DOSAGE FORM INJ
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
NATIONAL FORMULARY RESTRICTION 
May be restricted at local or VISN level.
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 0.03
INACTIVATION DATE 1999-09-22 00:00:00
UNITS %
DSS NUMBER 1
NATIONAL FORMULARY NAME ALBUMIN INJ
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
TRANSMIT TO CMOP NO
MASTER ENTRY FOR VUID YES
VUID 4003896
EFFECTIVE DATE/TIME
  • 1999-09-22 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE