AMPU-BALM OINT,TOP (18598)    VA PRODUCT (50.68)

Name Value
NAME AMPU-BALM OINT,TOP
VA GENERIC NAME AMPU-BALM
DOSAGE FORM OINT,TOP
NATIONAL FORMULARY NAME AMPU-BALM OINT,TOP
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 AMPU-BALM TOP OINT
VA PRODUCT IDENTIFIER A1382
TRANSMIT TO CMOP YES
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4026398
EFFECTIVE DATE/TIME
  • 2007-08-30 00:00:00
    STATUS:   ACTIVE