ALLERGENIC EXTRACT INSECTS HOUSEHOLD INJ (7532) VA PRODUCT (50.68)

Name	Value
NAME	ALLERGENIC EXTRACT INSECTS HOUSEHOLD INJ
VA GENERIC NAME	ALLERGENIC EXTRACT INSECTS HOUSEHOLD (4)
DOSAGE FORM	INJ,SOLN
ACTIVE INGREDIENTS	ALLERGENIC EXTRACT, ANT, WHOLE BODY STRENGTH: 1 UNITS: UNIT ALLERGENIC EXTRACT, COCKROACH STRENGTH: 1 UNITS: UNIT ALLERGENIC EXTRACT, HOUSE FLY, WHOLE BODY STRENGTH: 1 UNITS: UNIT ALLERGENIC EXTRACT, MOSQUITO WHOLE BODY STRENGTH: 1 UNITS: UNIT
CS FEDERAL SCHEDULE	Unscheduled
DSS NUMBER	1
NATIONAL FORMULARY NAME	ALLERGENIC EXTRACT INSECTS HOUSEHOLD (4) 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	4008036
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE