BETONY EXTRACT (17767)    VA PRODUCT (50.68)

Name Value
NAME BETONY EXTRACT
VA GENERIC NAME BETONY
DOSAGE FORM EXTRACT
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME BETONY 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 BETONY EXTRACT
VA PRODUCT IDENTIFIER B0554
TRANSMIT TO CMOP NO
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4025379
EFFECTIVE DATE/TIME
  • 2006-07-20 00:00:00
    STATUS:   ACTIVE