ALLERGENIC EXTRACT, GRASS, TIMOTHY, 10000PNU/ML, INJ (3878)    VA PRODUCT (50.68)

Name Value
NAME ALLERGENIC EXTRACT, GRASS, TIMOTHY, 10000PNU/ML, INJ
VA GENERIC NAME ALLERGENIC EXTRACT, GRASS, TIMOTHY
DOSAGE FORM INJ
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 10000
UNITS PNU/ML
DSS NUMBER 1
NATIONAL FORMULARY NAME ALLERGENIC EXTRACT, GRASS, TIMOTHY INJ
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
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 4004433
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE