ALLERGENIC EXTRACT,HOUSE DUST,STOCK 1000UNT INJ (3949) VA PRODUCT (50.68)

Name	Value
NAME	ALLERGENIC EXTRACT,HOUSE DUST,STOCK 1000UNT INJ
VA GENERIC NAME	ALLERGENIC EXTRACT,HOUSE DUST
DOSAGE FORM	INJ,SOLN
ACTIVE INGREDIENTS	ALLERGENIC EXTRACT,HOUSE DUST,STOCK STRENGTH: 1000 UNITS: UNIT
CS FEDERAL SCHEDULE	Unscheduled
DSS NUMBER	11
NATIONAL FORMULARY NAME	ALLERGENIC EXTRACT,HOUSE DUST INJ,SOLN
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	4004502
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE