| NAME |
LACTOBACILLUS CAP,ORAL,14/LACTOBACILLUS CAP,VAG,14 |
| VA GENERIC NAME |
LACTOBACILLUS |
| DOSAGE FORM |
KIT |
| ACTIVE INGREDIENTS |
|
| NATIONAL FORMULARY NAME |
LACTOBACILLUS KIT |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
LACTOBACILLUS 14/14 ORAL & VAG CAP |
| VA PRODUCT IDENTIFIER |
L0433 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
KIT |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4027660 |
| EFFECTIVE DATE/TIME |
-
- 2008-07-17 00:00:00
- STATUS: ACTIVE
|
