AGGREGATED ALBUMIN(HUMAN) (7461) VA PRODUCT (50.68)

Name	Value
NAME	AGGREGATED ALBUMIN(HUMAN)
VA GENERIC NAME	ALBUMIN/STANNOUS CHLORIDE
DOSAGE FORM	INJ,SUSP
ACTIVE INGREDIENTS	ALBUMIN,HUMAN STRENGTH: 2 UNITS: MG STANNOUS CHLORIDE STRENGTH: 0.16 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-28 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	ALBUMIN/STANNOUS CHLORIDE INJ,SUSP
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 0 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	4007965
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-28 00:00:00 STATUS: INACTIVE