ALLERGENIC EXTRACT,YELLOW JACKET INJ (6387)    VA PRODUCT (50.68)

Name Value
NAME ALLERGENIC EXTRACT,YELLOW JACKET INJ
VA GENERIC NAME ALLERGENIC EXTRACT,YELLOW JACKET
DOSAGE FORM INJ
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
DSS NUMBER 1
NATIONAL FORMULARY NAME ALLERGENIC EXTRACT,YELLOW JACKET 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
TRANSMIT TO CMOP NO
MASTER ENTRY FOR VUID YES
VUID 4006907
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE