ALLERGENIC EXTRACT, SHORT RAGWEED ALTERNARIA 5000 PNU/ML INJ (6758)    VA PRODUCT (50.68)

Name Value
NAME ALLERGENIC EXTRACT, SHORT RAGWEED ALTERNARIA 5000 PNU/ML INJ
VA GENERIC NAME ALLERGENIC EXTRACT,SHORT RAGWEED ALTERNARIA
DOSAGE FORM INJ,SOLN
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 5000
UNITS PNU/ML
DSS NUMBER 1
NATIONAL FORMULARY NAME ALLERGENIC EXTRACT,SHORT RAGWEED ALTERNARIA INJ,SOLN
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
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 4007274
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE