ALLERGENIC EXTRACT 0.996ML INJ (6768)    VA PRODUCT (50.68)

Name Value
NAME ALLERGENIC EXTRACT 0.996ML INJ
VA GENERIC NAME ALLERGENIC EXTRACT
DOSAGE FORM INJ,SOLN
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
DSS NUMBER 3
NATIONAL FORMULARY NAME ALLERGENIC EXTRACT 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 4007284
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE