ALLERGENIC EXTRACT TREES INJ (7538) VA PRODUCT (50.68)

Name	Value
NAME	ALLERGENIC EXTRACT TREES INJ
VA GENERIC NAME	ALLERGENIC EXTRACT TREES (9)
DOSAGE FORM	INJ,SOLN
ACTIVE INGREDIENTS	ALLERGENIC EXTRACT, ELM STRENGTH: 1 UNITS: UNIT ALLERGENIC EXTRACT, ALDER STRENGTH: 1 UNITS: UNIT ALLERGENIC EXTRACT, CEDAR STRENGTH: 1 UNITS: UNIT ALLERGENIC EXTRACT, COTTONWOOD STRENGTH: 1 UNITS: UNIT ALLERGENIC EXTRACT, HACKBERRY STRENGTH: 1 UNITS: UNIT ALLERGENIC EXTRACT, ASH MIX STRENGTH: 1 UNITS: UNIT ALLERGENIC EXTRACT, BEECH STRENGTH: 1 UNITS: UNIT ALLERGENIC EXTRACT, BIRCH STRENGTH: 1 UNITS: UNIT ALLERGENIC EXTRACT, BOX ELDER STRENGTH: 1 UNITS: UNIT
CS FEDERAL SCHEDULE	Unscheduled
DSS NUMBER	1
NATIONAL FORMULARY NAME	ALLERGENIC EXTRACT TREES (9) 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	4008042
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE