INDIAN SNAKEROOT PWDR (16719)    VA PRODUCT (50.68)

Name Value
NAME INDIAN SNAKEROOT PWDR
VA GENERIC NAME RAUWOLFIA
DOSAGE FORM POWDER
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME RAUWOLFIA 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 INDIAN SNAKEROOT PWDR
VA PRODUCT IDENTIFIER I0379
TRANSMIT TO CMOP NO
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4017082
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE