PAPAIN/UREA 10% EMULSION SPRAY,TOP (19112)    VA PRODUCT (50.68)

Name Value
NAME PAPAIN/UREA 10% EMULSION SPRAY,TOP
VA GENERIC NAME PAPAIN/UREA
DOSAGE FORM SPRAY,TOP
ACTIVE INGREDIENTS
  • UREA
    STRENGTH:   10
    UNITS:   %
NATIONAL FORMULARY NAME PAPAIN/UREA SPRAY,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 PAPAIN/UREA 10% EMULSION TOP SPRAY
VA PRODUCT IDENTIFIER P0862
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4026950
EFFECTIVE DATE/TIME
  • 2007-12-20 00:00:00
    STATUS:   ACTIVE