ALLERGENIC EXTRACT,RAGWEED STOCK POLLEN INJ (7634)    VA PRODUCT (50.68)

Name Value
NAME ALLERGENIC EXTRACT,RAGWEED STOCK POLLEN INJ
VA GENERIC NAME ALLERGENIC EXTRACT,RAGWEED STOCK POLLEN
DOSAGE FORM INJ,CONC, W/BUF
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 5
UNITS %
DSS NUMBER 1
NATIONAL FORMULARY NAME ALLERGENIC EXTRACT,RAGWEED STOCK POLLEN INJ,CONC, W/BUF
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 4008130
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE