WORMWOOD OIL (15654)    VA PRODUCT (50.68)

Name Value
NAME WORMWOOD OIL
VA GENERIC NAME WORMWOOD
DOSAGE FORM OIL
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME WORMWOOD OIL
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 WORMWOOD OIL
VA PRODUCT IDENTIFIER W0027
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4016017
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE