ALLERGENIC EXTRACT MIXED INHL INJ (7533) VA PRODUCT (50.68)

Name	Value
NAME	ALLERGENIC EXTRACT MIXED INHL INJ
VA GENERIC NAME	ALLERGENIC EXTRACT MIXED INHALANT (5A)
DOSAGE FORM	INJ,SOLN
ACTIVE INGREDIENTS	ALLERGENIC EXTRACT, COTTON SEED STRENGTH: 1 UNITS: UNIT ALLERGENIC EXTRACT, KAPOK STRENGTH: 1 UNITS: UNIT ALLERGENIC EXTRACT, PYRETHRUM STRENGTH: 1 UNITS: UNIT ALLERGENIC EXTRACT, SILK STRENGTH: 1 UNITS: UNIT ORRIS STRENGTH: 1 UNITS: UNIT
CS FEDERAL SCHEDULE	Unscheduled
DSS NUMBER	1
NATIONAL FORMULARY NAME	ALLERGENIC EXTRACT MIXED INHALANT (5A) 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	4008037
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE