COBRA POWERFUL MEN'S PREFORMANCE ENHANCER CAP/TAB (16735)    VA PRODUCT (50.68)

Name Value
NAME COBRA POWERFUL MEN'S PREFORMANCE ENHANCER CAP/TAB
VA GENERIC NAME MENS HEALTH
DOSAGE FORM CAP/TAB
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2004-08-05 00:00:00
NATIONAL FORMULARY NAME MENS HEALTH CAP/TAB
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 COBRA MENS PREFORMANCE ENHANCER
VA PRODUCT IDENTIFIER C1157
TRANSMIT TO CMOP NO
VA DISPENSE UNIT CAP/TAB
MASTER ENTRY FOR VUID YES
VUID 4017098
EFFECTIVE DATE/TIME
  • 2004-08-05 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE