BCG,TICE 50MG/AMP VACCINE (8867)    VA PRODUCT (50.68)

Name Value
NAME BCG,TICE 50MG/AMP VACCINE
VA GENERIC NAME BACILLUS CALMETTE-GUERIN,TICE VACCINE
DOSAGE FORM INJ,LYPHL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 50
INACTIVATION DATE 2009-05-18 00:00:00
UNITS MG/AMP
DSS NUMBER 1
NATIONAL FORMULARY NAME BACILLUS CALMETTE-GUERIN,TICE VACCINE INJ,LYPHL
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
VA PRINT NAME BCG TICE 50MG/AMP VACCINE
VA PRODUCT IDENTIFIER B0324
TRANSMIT TO CMOP NO
VA DISPENSE UNIT AMP
MASTER ENTRY FOR VUID YES
VUID 4009320
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2009-05-18 00:00:00
    STATUS:   INACTIVE
  • 2009-05-18 00:00:00
    STATUS:   INACTIVE
  • 2009-05-18 00:00:00
    STATUS:   INACTIVE