MANGOSTEEN LIQUID,ORAL (17883)    VA PRODUCT (50.68)

Name Value
NAME MANGOSTEEN LIQUID,ORAL
VA GENERIC NAME MANGOSTEEN
DOSAGE FORM LIQUID,ORAL
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME MANGOSTEEN LIQUID,ORAL
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 MANGOSTEEN ORAL LIQUID
VA PRODUCT IDENTIFIER M0691
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4025570
EFFECTIVE DATE/TIME
  • 2006-09-05 00:00:00
    STATUS:   ACTIVE