APOAEQUORIN 10MG CAP/TAB (22671)    VA PRODUCT (50.68)

Name Value
NAME APOAEQUORIN 10MG CAP/TAB
VA GENERIC NAME APOAEQUORIN
DOSAGE FORM CAP/TAB
ACTIVE INGREDIENTS
STRENGTH 10
UNITS MG
NATIONAL FORMULARY NAME APOAEQUORIN 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 APOAEQUORIN 10MG CAP/TAB
VA PRODUCT IDENTIFIER A1631
TRANSMIT TO CMOP NO
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4031006
EFFECTIVE DATE/TIME
  • 2011-10-11 00:00:00
    STATUS:   ACTIVE