BLACK RADISH CAP/TAB (22789)    VA PRODUCT (50.68)

Name Value
NAME BLACK RADISH CAP/TAB
VA GENERIC NAME BLACK RADISH
DOSAGE FORM CAP/TAB
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME BLACK RADISH 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 BLACK RADISH CAP/TAB
VA PRODUCT IDENTIFIER B0675
TRANSMIT TO CMOP NO
VA DISPENSE UNIT CAP/TAB
MASTER ENTRY FOR VUID YES
VUID 4031147
EFFECTIVE DATE/TIME
  • 2011-12-09 00:00:00
    STATUS:   ACTIVE