ANGELICA ROOT EXTRACT (15637)    VA PRODUCT (50.68)

Name Value
NAME ANGELICA ROOT EXTRACT
VA GENERIC NAME ANGELICA ROOT
DOSAGE FORM POWDER
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME ANGELICA ROOT POWDER
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 ANGELICA ROOT EXTRACT
VA PRODUCT IDENTIFIER A1111
TRANSMIT TO CMOP NO
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4016000
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE