ALLERGENIC EXTRACT GRASSES INJ (7537) VA PRODUCT (50.68)

Name	Value
NAME	ALLERGENIC EXTRACT GRASSES INJ
VA GENERIC NAME	ALLERGENIC EXTRACT GRASSES (15)
DOSAGE FORM	INJ,SOLN
ACTIVE INGREDIENTS	ALLERGENIC EXTRACT, TIMOTHY GRASS STRENGTH: 1 UNITS: UNIT ALLERGENIC EXTRACT, REDTOP GRASS STRENGTH: 1 UNITS: UNIT ALLERGENIC EXTRACT, SWEET VERNAL STRENGTH: 1 UNITS: UNIT ALLERGENIC EXTRACT, JUNE GRASS STRENGTH: 1 UNITS: UNIT ALLERGENIC EXTRACT, RYE GRASS PERENNIAL STRENGTH: 1 UNITS: UNIT ALLERGENIC EXTRACT, BERMUDA GRASS STRENGTH: 1 UNITS: UNIT ALLERGENIC EXTRACT, GRASS, JOHNSON STRENGTH: 1 UNITS: UNIT ALLERGENIC EXTRACT, GRASS, ORCHARD STRENGTH: 1 UNITS: UNIT ALLERGENIC EXTRACT, BLUEGRASS ANNUAL POLLEN STRENGTH: 1 UNITS: UNIT ALLERGENIC EXTRACT, CANADA BLUEGRASS POLLEN STRENGTH: 1 UNITS: UNIT ALLERGENIC EXTRACT, BROME GRASS POLLEN STRENGTH: 1 UNITS: UNIT ALLERGENIC EXTRACT, CORN POLLEN STRENGTH: 1 UNITS: UNIT ALLERGENIC EXTRACT, MEADOW FESCUE POLLEN STRENGTH: 1 UNITS: UNIT ALLERGENIC EXTRACT, QUACK GRASS POLLEN STRENGTH: 1 UNITS: UNIT ALLERGENIC EXTRACT, ITALIAN RYEGRASS POLLEN STRENGTH: 1 UNITS: UNIT
CS FEDERAL SCHEDULE	Unscheduled
DSS NUMBER	1
NATIONAL FORMULARY NAME	ALLERGENIC EXTRACT GRASSES (15) 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	4008041
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE