RHO (D) IMMUNE GLOBULIN,HUMAN 300MCG/VIL INJ (4589)    VA PRODUCT (50.68)

Name Value
NAME RHO (D) IMMUNE GLOBULIN,HUMAN 300MCG/VIL INJ
VA GENERIC NAME RHO (D) IMMUNE GLOBULIN,HUMAN
DOSAGE FORM INJ
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 300
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MCG/VIL
DSS NUMBER 1
NATIONAL FORMULARY NAME RHO (D) IMMUNE GLOBULIN,HUMAN INJ
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME RHO (D) IMMUNE GLOBULIN,HUMAN 300MCG/VIL
VA PRODUCT IDENTIFIER R0434
TRANSMIT TO CMOP NO
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID YES
VUID 4005136
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-27 00:00:00
    STATUS:   INACTIVE
  • 2007-10-10 00:00:00
    STATUS:   ACTIVE
  • 2007-10-01 00:00:00
    STATUS:   INACTIVE
  • 2007-10-10 00:00:00
    STATUS:   ACTIVE