HERBAL ALLERGY RELIEF SWAB,TOP (22642)    VA PRODUCT (50.68)

Name Value
NAME HERBAL ALLERGY RELIEF SWAB,TOP
VA GENERIC NAME HERBAL ALLERGY RELIEF
DOSAGE FORM SWAB,TOP
NATIONAL FORMULARY NAME HERBAL ALLERGY RELIEF SWAB,TOP
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
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 HERBAL ALLERGY RELIEF TOP SWAB
VA PRODUCT IDENTIFIER H0600
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4030960
EFFECTIVE DATE/TIME
  • 2011-09-12 00:00:00
    STATUS:   ACTIVE