| NAME |
APPLIANCE DEODORANT OSTO-GEL GRANUALS SACHET |
| VA GENERIC NAME |
DEODORANT |
| DOSAGE FORM |
GRANULES |
| NATIONAL FORMULARY NAME |
DEODORANT GRANULES |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
APPLIANCE DEODORANT OSTO-GEL SACHET |
| VA PRODUCT IDENTIFIER |
XT632 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
PKT |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4029996 |
| EFFECTIVE DATE/TIME |
-
- 2010-08-13 00:00:00
- STATUS: ACTIVE
|
