ROYAL JELLY PWDR (17171)    VA PRODUCT (50.68)

Name Value
NAME ROYAL JELLY PWDR
VA GENERIC NAME ROYAL JELLY
DOSAGE FORM POWDER
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME ROYAL JELLY 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 ROYAL JELLY PWDR
VA PRODUCT IDENTIFIER R0179
TRANSMIT TO CMOP NO
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4024603
EFFECTIVE DATE/TIME
  • 2006-01-24 00:00:00
    STATUS:   ACTIVE