COLLAGEN,ACTIVATED 96% PWDR,TOP (18623)    VA PRODUCT (50.68)

Name Value
NAME COLLAGEN,ACTIVATED 96% PWDR,TOP
VA GENERIC NAME COLLAGEN,ACTIVATED
DOSAGE FORM POWDER,TOP
ACTIVE INGREDIENTS
STRENGTH 96
UNITS %
NATIONAL FORMULARY NAME COLLAGEN,ACTIVATED PWDR,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 COLLAGEN,ACTIVATED 96% TOP PWDR
VA PRODUCT IDENTIFIER C1289
TRANSMIT TO CMOP NO
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4026423
EFFECTIVE DATE/TIME
  • 2007-08-30 00:00:00
    STATUS:   ACTIVE