ALLERGENIC EXTRACT INJ (6766) VA PRODUCT (50.68)

Name	Value
NAME	ALLERGENIC EXTRACT INJ
VA GENERIC NAME	ALLERGENIC EXTRACT INHALANTS (17A)
DOSAGE FORM	INJ,SOLN
ACTIVE INGREDIENTS	ALLERGENIC EXTRACT, COTTON SEED STRENGTH: 1 UNITS: UNIT ORRIS STRENGTH: 1 UNITS: UNIT ALLERGENIC EXTRACT, WOOL STRENGTH: 1 UNITS: UNIT ALLERGENIC EXTRACT, KAPOK LIUTERS POLLEN STRENGTH: 1 UNITS: UNIT COTTON WOOL STRENGTH: 1 UNITS: UNIT NYLON STRENGTH: 1 UNITS: UNIT PYRETHRUM OLEO RESIN STRENGTH: 1 UNITS: UNIT RAYON,PURIFIED STRENGTH: 1 UNITS: UNIT SILK STRENGTH: 1 UNITS: UNIT TOBACCO STRENGTH: 1 UNITS: UNIT TRAGACANTH STRENGTH: 1 UNITS: UNIT ACACIA STRENGTH: 1 UNITS: UNIT ALLERGENIC EXTRACT, FEATHER MIX STRENGTH: 1 UNITS: UNIT ALLERGENIC EXTRACT, MIXED ANTIGENS STRENGTH: 0 UNITS: NS
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2004-11-18 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	ALLERGENIC EXTRACT INHALANTS (17A) 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	NO
VUID	4007282
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2005-12-08 00:00:00 STATUS: ACTIVE 2004-11-18 00:00:00 STATUS: INACTIVE