DANSHEN EXTRACT (17762)    VA PRODUCT (50.68)

Name Value
NAME DANSHEN EXTRACT
VA GENERIC NAME DANSHEN
DOSAGE FORM EXTRACT
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME DANSHEN EXTRACT
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 DANSHEN EXTRACT
VA PRODUCT IDENTIFIER D0704
TRANSMIT TO CMOP NO
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4025374
EFFECTIVE DATE/TIME
  • 2006-07-20 00:00:00
    STATUS:   ACTIVE