ALLERGENIC EXTRACT MIXED EPIDERMALS INJ (7534) VA PRODUCT (50.68)

Name	Value
NAME	ALLERGENIC EXTRACT MIXED EPIDERMALS INJ
VA GENERIC NAME	ALLERGENIC EXTRACT MIXED EPIDERMALS (5A)
DOSAGE FORM	INJ,SOLN
ACTIVE INGREDIENTS	ALLERGENIC EXTRACT, WOOL STRENGTH: 1 UNITS: UNIT ALLERGENIC EXTRACT, FEATHER MIX STRENGTH: 1 UNITS: UNIT ALLERGENIC EXTRACT, DOG EPITHELIA STRENGTH: 1 UNITS: UNIT ALLERGENIC EXTRACT, CAT EPITHELIUM STRENGTH: 1 UNITS: UNIT ALLERGENIC EXTRACT, HORSE EPITHELIA STRENGTH: 1 UNITS: UNIT
CS FEDERAL SCHEDULE	Unscheduled
DSS NUMBER	1
NATIONAL FORMULARY NAME	ALLERGENIC EXTRACT MIXED EPIDERMALS (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	4008038
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE