| Name | Value |
|---|---|
| NAME | GRAPEFRUIT JUICE |
| VA GENERIC NAME | GRAPEFRUIT |
| DOSAGE FORM | LIQUID |
| ACTIVE INGREDIENTS |
|
| NATIONAL FORMULARY NAME | GRAPEFRUIT LIQUID |
| CREATE DEFAULT POSSIBLE DOSAGE | YES |
| CODING SYSTEM |
|
| COPAY TIER |
|
| PGX ELIGIBLE | NO |
| PGX SUPPRESSED | NO |
| VA PRINT NAME | GRAPEFRUIT JUICE |
| VA PRODUCT IDENTIFIER | G0249 |
| TRANSMIT TO CMOP | NO |
| VA DISPENSE UNIT | ML |
| MASTER ENTRY FOR VUID | YES |
| VUID | 4017224 |
| EFFECTIVE DATE/TIME |
|