| Name | Value |
|---|---|
| NAME | AMERIGEL CARE LOTION |
| VA GENERIC NAME | AMERIGEL |
| DOSAGE FORM | LOTION,TOP |
| NATIONAL FORMULARY NAME | MOISTURIZING LOTION LOTION,TOP |
| CREATE DEFAULT POSSIBLE DOSAGE | YES |
| CODING SYSTEM |
|
| COPAY TIER |
|
| PGX ELIGIBLE | NO |
| PGX SUPPRESSED | NO |
| VA PRINT NAME | AMERIGEL CARE LOTION |
| VA PRODUCT IDENTIFIER | A1369 |
| TRANSMIT TO CMOP | NO |
| VA DISPENSE UNIT | GM |
| MASTER ENTRY FOR VUID | YES |
| VUID | 4026208 |
| EFFECTIVE DATE/TIME |
|