ALLERGENIC EXTRACT, HOUSE DUST INJ,SUSP (3948)    VA PRODUCT (50.68)

Name Value
NAME ALLERGENIC EXTRACT, HOUSE DUST INJ,SUSP
VA GENERIC NAME ALLERGENIC EXTRACT,HOUSE DUST
DOSAGE FORM INJ,SUSP
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
DSS NUMBER 10
NATIONAL FORMULARY NAME ALLERGENIC EXTRACT,HOUSE DUST 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 4004501
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE