ACAI LIQUID,ORAL (21041)    VA PRODUCT (50.68)

Name Value
NAME ACAI LIQUID,ORAL
VA GENERIC NAME ACAI
DOSAGE FORM LIQUID,ORAL
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME ACAI LIQUID,ORAL
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 ACAI ORAL LIQUID
VA PRODUCT IDENTIFIER A1518
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4029143
EFFECTIVE DATE/TIME
  • 2009-10-01 00:00:00
    STATUS:   ACTIVE