LORENZO'S OIL (17763)    VA PRODUCT (50.68)

Name Value
NAME LORENZO'S OIL
VA GENERIC NAME LORENZO'S
DOSAGE FORM OIL
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME LORENZO'S OIL
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 LORENZO'S OIL
VA PRODUCT IDENTIFIER L0371
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4025375
EFFECTIVE DATE/TIME
  • 2006-07-20 00:00:00
    STATUS:   ACTIVE