LYSINE CREAM,TOP (17366)    VA PRODUCT (50.68)

Name Value
NAME LYSINE CREAM,TOP
VA GENERIC NAME LYSINE
DOSAGE FORM CREAM,TOP
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME LYSINE CREAM,TOP
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 LYSINE TOP CREAM
VA PRODUCT IDENTIFIER L0355
TRANSMIT TO CMOP NO
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4024798
EFFECTIVE DATE/TIME
  • 2006-01-24 00:00:00
    STATUS:   ACTIVE