ALLERGENIC EXTRACT, GRASS, BERMUDA INJ,SUSP (3871)    VA PRODUCT (50.68)

Name Value
NAME ALLERGENIC EXTRACT, GRASS, BERMUDA INJ,SUSP
VA GENERIC NAME ALLERGENIC EXTRACT,GRASS,BERMUDA
DOSAGE FORM INJ,SUSP
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
DSS NUMBER 2
NATIONAL FORMULARY NAME ALLERGENIC EXTRACT,GRASS,BERMUDA INJ,SUSP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    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 4004426
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE