ALUM PRECIPITATED POISON IVY EXTRACT 10000PNU/ML INJ (3954) VA PRODUCT (50.68)

Name	Value
NAME	ALUM PRECIPITATED POISON IVY EXTRACT 10000PNU/ML INJ
VA GENERIC NAME	POISON IVY EXTRACT
DOSAGE FORM	INJ
ACTIVE INGREDIENTS	ALUMINUM POTASSIUM SULFATE STRENGTH: 15 UNITS: MG POISON IVY EXTRACT STRENGTH: 10000 UNITS: PNU/ML
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	10000
INACTIVATION DATE	2008-09-03 00:00:00
UNITS	PNU/ML
DSS NUMBER	1
NATIONAL FORMULARY NAME	POISON IVY EXTRACT INJ
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
VA PRINT NAME	POISON IVY EXT,ALUM PPT 10000PNU/ML INJ
VA PRODUCT IDENTIFIER	P0466
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4004507
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2008-09-03 00:00:00 STATUS: INACTIVE