ALOE VERA CLEANSING PAD (10027)    VA PRODUCT (50.68)

Name Value
NAME ALOE VERA CLEANSING PAD
VA GENERIC NAME ALOE VERA
DOSAGE FORM PAD,TOP
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2009-05-20 00:00:00
DSS NUMBER 1
NATIONAL FORMULARY NAME ALOE VERA PAD,TOP
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 ALOE VERA CLEANSING PAD
VA PRODUCT IDENTIFIER XX804
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4010416
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2009-05-20 00:00:00
    STATUS:   INACTIVE