ACITRETIN 25MG CAP,30/VERSA FOAM KIT (18803)    VA PRODUCT (50.68)

Name Value
NAME ACITRETIN 25MG CAP,30/VERSA FOAM KIT
VA GENERIC NAME ACITRETIN
DOSAGE FORM KIT
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2010-05-20 00:00:00
NATIONAL FORMULARY NAME ACITRETIN KIT
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 ACITRETIN 25MG CAP,30/VERSA FOAM KIT
VA PRODUCT IDENTIFIER A1395
TRANSMIT TO CMOP YES
VA DISPENSE UNIT KIT
MASTER ENTRY FOR VUID YES
VUID 4026620
EFFECTIVE DATE/TIME
  • 2007-10-10 00:00:00
    STATUS:   ACTIVE
  • 2010-05-20 00:00:00
    STATUS:   INACTIVE