CRANBERRY JUICE (16862)    VA PRODUCT (50.68)

Name Value
NAME CRANBERRY JUICE
VA GENERIC NAME CRANBERRY
DOSAGE FORM LIQUID
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME CRANBERRY LIQUID
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 CRANBERRY JUICE
VA PRODUCT IDENTIFIER C1177
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4017225
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE