PARAFFIN WAX (17547)    VA PRODUCT (50.68)

Name Value
NAME PARAFFIN WAX
VA GENERIC NAME PARAFFIN HYDROCARBONS
DOSAGE FORM WAX
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME PARAFFIN WAX
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME PARAFFIN WAX
VA PRODUCT IDENTIFIER P0750
TRANSMIT TO CMOP YES
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4025048
EFFECTIVE DATE/TIME
  • 2006-03-28 00:00:00
    STATUS:   ACTIVE