ALBUMIN HUMAN 0.03% / ALLERGENIC EXTRACT, EPIDERMAL & INHL INJ (6390)    VA PRODUCT (50.68)

Name Value
NAME ALBUMIN HUMAN 0.03% / ALLERGENIC EXTRACT, EPIDERMAL & INHL INJ
VA GENERIC NAME ALLERGENIC EXTRACT,EPIDERMAL AND INHALANTS/ALBUMIN HUMAN
DOSAGE FORM INJ,SOLN
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2007-09-28 00:00:00
DSS NUMBER 1
NATIONAL FORMULARY NAME ALLERGENIC EXTRACT,EPIDERMAL AND INHALANTS/ALBUMIN HUMAN 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 4006910
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-28 00:00:00
    STATUS:   INACTIVE