AVEENO POSITIVELY RADIANT BAR SOAP (18533)    VA PRODUCT (50.68)

Name Value
NAME AVEENO POSITIVELY RADIANT BAR SOAP
VA GENERIC NAME AVEENO
DOSAGE FORM SOAP/DETERGENT
NATIONAL FORMULARY NAME AVEENO SOAP/DETERGENT
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
    COPAY END DATE:   2017-06-30 00:00:00
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2017-07-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME AVEENO POSITIVELY RADIANT BAR SOAP
VA PRODUCT IDENTIFIER A1380
TRANSMIT TO CMOP YES
VA DISPENSE UNIT BAR
MASTER ENTRY FOR VUID YES
VUID 4026333
EFFECTIVE DATE/TIME
  • 2007-08-30 00:00:00
    STATUS:   ACTIVE