ESSIAC TEA CAP/TAB (21017)    VA PRODUCT (50.68)

Name Value
NAME ESSIAC TEA CAP/TAB
VA GENERIC NAME ESSIAC TEA
DOSAGE FORM CAP/TAB
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME ESSIAC TEA 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 ESSIAC TEA CAP/TAB
VA PRODUCT IDENTIFIER E0530
TRANSMIT TO CMOP NO
VA DISPENSE UNIT CAP/TAB
MASTER ENTRY FOR VUID YES
VUID 4029119
EFFECTIVE DATE/TIME
  • 2009-10-01 00:00:00
    STATUS:   ACTIVE