
| Name | Value |
|---|---|
| NAME | APPLIANCE DEODORANT DCP PWDR |
| VA GENERIC NAME | DEODORANT |
| DOSAGE FORM | POWDER |
| NATIONAL FORMULARY NAME | DEODORANT POWDER |
| CREATE DEFAULT POSSIBLE DOSAGE | YES |
| CODING SYSTEM |
|
| COPAY TIER |
|
| PGX ELIGIBLE | NO |
| PGX SUPPRESSED | NO |
| VA PRINT NAME | APPLIANCE DEODORANT DCP PWDR |
| VA PRODUCT IDENTIFIER | XU215 |
| TRANSMIT TO CMOP | YES |
| VA DISPENSE UNIT | BTL |
| MASTER ENTRY FOR VUID | YES |
| VUID | 4027610 |
| EFFECTIVE DATE/TIME |
|