| NAME |
BASIS SOAP BAR,EXTRA DRY SKIN |
| VA GENERIC NAME |
BASIS |
| DOSAGE FORM |
BAR,TOP |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| INACTIVATION DATE |
2000-06-21 00:00:00 |
| DSS NUMBER |
1 |
| NATIONAL FORMULARY NAME |
BASIS BAR,TOP |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
- COPAY END DATE: 2017-06-30 00:00:00
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2017-07-01 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
CLEANSING SOAP BAR EXTRA DRY SKIN |
| VA PRODUCT IDENTIFIER |
C0610 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
BAR |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4012615 |
| EFFECTIVE DATE/TIME |
-
- 2000-06-21 00:00:00
- STATUS: INACTIVE
-
- 2005-12-08 00:00:00
- STATUS: INACTIVE
|
