PYGEUM BARK PWDR (17746)    VA PRODUCT (50.68)

Name Value
NAME PYGEUM BARK PWDR
VA GENERIC NAME PYGEUM
DOSAGE FORM POWDER
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME PYGEUM 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 PYGEUM BARK PWDR
VA PRODUCT IDENTIFIER P0758
TRANSMIT TO CMOP NO
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4025358
EFFECTIVE DATE/TIME
  • 2006-07-20 00:00:00
    STATUS:   ACTIVE