ALEO VESTA 2-N-1 BODY WASH,SHAMPOO (15614)    VA PRODUCT (50.68)

Name Value
NAME ALEO VESTA 2-N-1 BODY WASH,SHAMPOO
VA GENERIC NAME CLEANSING SHAMPOO
DOSAGE FORM SHAMPOO
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2002-08-13 00:00:00
NATIONAL FORMULARY NAME CLEANSING SHAMPOO SHAMPOO
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
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 ALEO VESTA 2-N-1 BODY WASH,SHAMPOO
VA PRODUCT IDENTIFIER A1110
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4015977
EFFECTIVE DATE/TIME
  • 2002-08-13 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE