HELIUM 99% GAS (7525)    VA PRODUCT (50.68)

Name Value
NAME HELIUM 99% GAS
VA GENERIC NAME HELIUM
DOSAGE FORM GAS
ACTIVE INGREDIENTS
  • HELIUM
    STRENGTH:   99
    UNITS:   %
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 99
INACTIVATION DATE 2008-09-30 00:00:00
UNITS %
DSS NUMBER 1
NATIONAL FORMULARY NAME HELIUM 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 4008029
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2008-09-30 00:00:00
    STATUS:   INACTIVE