MISTLETOE EXTRACT (17764)    VA PRODUCT (50.68)

Name Value
NAME MISTLETOE EXTRACT
VA GENERIC NAME MISTLETOE
DOSAGE FORM EXTRACT
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME MISTLETOE 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 MISTLETOE EXTRACT
VA PRODUCT IDENTIFIER M0685
TRANSMIT TO CMOP NO
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4025376
EFFECTIVE DATE/TIME
  • 2006-07-20 00:00:00
    STATUS:   ACTIVE