MANNOSE CAP/TAB (20596)    VA PRODUCT (50.68)

Name Value
NAME MANNOSE CAP/TAB
VA GENERIC NAME MANNOSE
DOSAGE FORM CAP/TAB
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME MANNOSE CAP/TAB
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 MANNOSE CAP/TAB
VA PRODUCT IDENTIFIER M0860
TRANSMIT TO CMOP NO
VA DISPENSE UNIT CAP/TAB
MASTER ENTRY FOR VUID YES
VUID 4028614
EFFECTIVE DATE/TIME
  • 2009-05-11 00:00:00
    STATUS:   ACTIVE