PASQUE FLOWER EXTRACT (17772)    VA PRODUCT (50.68)

Name Value
NAME PASQUE FLOWER EXTRACT
VA GENERIC NAME PASQUE FLOWER
DOSAGE FORM EXTRACT
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME PASQUE FLOWER 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 PASQUE FLOWER EXTRACT
VA PRODUCT IDENTIFIER P0761
TRANSMIT TO CMOP NO
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4025384
EFFECTIVE DATE/TIME
  • 2006-07-20 00:00:00
    STATUS:   ACTIVE