GUAIAC GUM PWDR (17738)    VA PRODUCT (50.68)

Name Value
NAME GUAIAC GUM PWDR
VA GENERIC NAME GUAIAC
DOSAGE FORM POWDER
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME GUAIAC POWDER
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 GUAIAC GUM PWDR
VA PRODUCT IDENTIFIER G0270
TRANSMIT TO CMOP NO
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4025350
EFFECTIVE DATE/TIME
  • 2006-07-20 00:00:00
    STATUS:   ACTIVE