HELIUM 40.7%/OXYGEN 59.2% GAS (7395)    VA PRODUCT (50.68)

Name Value
NAME HELIUM 40.7%/OXYGEN 59.2% GAS
VA GENERIC NAME HELIUM/OXYGEN
DOSAGE FORM GAS
ACTIVE INGREDIENTS
  • OXYGEN
    STRENGTH:   59.2
    UNITS:   %
  • HELIUM
    STRENGTH:   40.7
    UNITS:   %
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2008-09-30 00:00:00
DSS NUMBER 2
NATIONAL FORMULARY NAME HELIUM/OXYGEN GAS
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 4007900
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2008-09-30 00:00:00
    STATUS:   INACTIVE