TECHNETIUM-99m 2.5MIL AGGREGATED ALBUMIN (HUMAN) INJ (3378) VA PRODUCT (50.68)

Name	Value
NAME	TECHNETIUM-99m 2.5MIL AGGREGATED ALBUMIN (HUMAN) INJ
VA GENERIC NAME	ALBUMIN/TECHNETIUM,TC-99M
DOSAGE FORM	SUSP
ACTIVE INGREDIENTS	ALBUMIN,HUMAN STRENGTH: 1 UNITS: NS TECHNETIUM Tc 99m STRENGTH: 2.5 UNITS: MIL
CS FEDERAL SCHEDULE	Unscheduled
DSS NUMBER	2
NATIONAL FORMULARY NAME	ALBUMIN/TECHNETIUM,TC-99M SUSP
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	4003945
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2008-09-02 00:00:00 STATUS: INACTIVE 2008-11-06 00:00:00 STATUS: ACTIVE