| NAME |
LUBRICANT MOISTURIZER VAG,SUPP,W/APPLICATOR |
| VA GENERIC NAME |
LUBRICANT,VAGINAL |
| DOSAGE FORM |
SUPP,VAG |
| CS FEDERAL SCHEDULE |
Unscheduled |
| INACTIVATION DATE |
2011-03-25 00:00:00 |
| NATIONAL FORMULARY NAME |
LUBRICANT,VAGINAL SUPP,VAG |
| 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 |
LUBRICANT MOISTURIZER VAG SUPP W/APP |
| VA PRODUCT IDENTIFIER |
L0514 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4030230 |
| EFFECTIVE DATE/TIME |
-
- 2010-11-09 00:00:00
- STATUS: ACTIVE
-
- 2011-03-25 00:00:00
- STATUS: INACTIVE
|
