LUBRICANT MOISTURIZER VAG,GEL,APPLICATOR,2.5GM (16433)    VA PRODUCT (50.68)

Name Value
NAME LUBRICANT MOISTURIZER VAG,GEL,APPLICATOR,2.5GM
VA GENERIC NAME LUBRICANT,VAGINAL
DOSAGE FORM GEL,VAG
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2010-04-23 00:00:00
NATIONAL FORMULARY NAME LUBRICANT,VAGINAL GEL,VAG
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 LUBRICANT MOISTURIZER VAG GEL APPL 2.5GM
VA PRODUCT IDENTIFIER L0315
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4016796
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2008-09-03 00:00:00
    STATUS:   INACTIVE
  • 2008-09-12 00:00:00
    STATUS:   ACTIVE
  • 2010-04-23 00:00:00
    STATUS:   INACTIVE