| NAME |
ALLERGENIC EXTRACT WEEDS INJ |
| VA GENERIC NAME |
ALLERGENIC EXTRACT WEEDS (17A) |
| DOSAGE FORM |
INJ,SOLN |
| ACTIVE INGREDIENTS |
-
- ALLERGENIC EXTRACT, SHORT RAGWEED
- STRENGTH: 1
- UNITS: UNIT
-
- ALLERGENIC EXTRACT, TALL RAGWEED
- STRENGTH: 1
- UNITS: UNIT
-
- ALLERGENIC EXTRACT, DANDELION POLLEN
- STRENGTH: 1
- UNITS: UNIT
-
- ALLERGENIC EXTRACT, FIREBUSH KOCHIA POLLEN
- STRENGTH: 1
- UNITS: UNIT
-
- ALLERGENIC EXTRACT, GLODENROD POLLEN
- STRENGTH: 1
- UNITS: UNIT
-
- ALLERGENIC EXTRACT, HEMP POLLEN
- STRENGTH: 1
- UNITS: UNIT
-
- ALLERGENIC EXTRACT, POLLEN MEXICAN TEA
- STRENGTH: 1
- UNITS: UNIT
-
- ALLERGENIC EXTRACT, LAMB QUARTERS
- STRENGTH: 1
- UNITS: UNIT
-
- ALLERGENIC EXTRACT, COMMON MUGWORT
- STRENGTH: 1
- UNITS: UNIT
-
- ALLERGENIC EXTRACT, PIGWEED, ROUGH
- STRENGTH: 1
- UNITS: UNIT
-
- ALLERGENIC EXTRACT, PLANTAIN, ENGLISH
- STRENGTH: 1
- UNITS: UNIT
-
- ALLERGENIC EXTRACT, THISTLE, RUSSIAN
- STRENGTH: 1
- UNITS: UNIT
-
- ALLERGENIC EXTRACT, COMMON SAGEBRUSH
- STRENGTH: 1
- UNITS: UNIT
-
- ALLERGENIC EXTRACT, WESTERN RAGWEED
- STRENGTH: 1
- UNITS: UNIT
-
- ALLERGENIC EXTRACT, SHEEP SORREL
- STRENGTH: 1
- UNITS: UNIT
-
- ALLERGENIC EXTRACT, YELLOW DOCK POLLEN
- STRENGTH: 1
- UNITS: UNIT
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| DSS NUMBER |
1 |
| NATIONAL FORMULARY NAME |
ALLERGENIC EXTRACT WEEDS (17A) INJ,SOLN |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| 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 |
4008043 |
| EFFECTIVE DATE/TIME |
-
- 2005-03-10 00:00:00
- STATUS: ACTIVE
|
