
| Name | Value |
|---|---|
| NAME | WILD CHERRY BARK PWDR |
| VA GENERIC NAME | WILD CHERRY BARK |
| DOSAGE FORM | POWDER |
| ACTIVE INGREDIENTS |
|
| NATIONAL FORMULARY NAME | WILD CHERRY BARK POWDER |
| CREATE DEFAULT POSSIBLE DOSAGE | YES |
| CODING SYSTEM |
|
| COPAY TIER |
|
| PGX ELIGIBLE | NO |
| PGX SUPPRESSED | NO |
| VA PRINT NAME | WILD CHERRY BARK PWDR |
| VA PRODUCT IDENTIFIER | W0029 |
| TRANSMIT TO CMOP | NO |
| VA DISPENSE UNIT | GM |
| MASTER ENTRY FOR VUID | YES |
| VUID | 4025345 |
| EFFECTIVE DATE/TIME |
|