ALLERGENIC EXTRACT, HORSE DANDER 5% INJ (6756)    VA PRODUCT (50.68)

Name Value
NAME ALLERGENIC EXTRACT, HORSE DANDER 5% INJ
VA GENERIC NAME HORSE DANDER
DOSAGE FORM INJ,SOLN
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 5
UNITS %
DSS NUMBER 5
NATIONAL FORMULARY NAME HORSE DANDER 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 4007272
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE