DERMAGRAN-B OINT,TOP (22810)    VA PRODUCT (50.68)

Name Value
NAME DERMAGRAN-B OINT,TOP
VA GENERIC NAME DERMAGRAN-B
DOSAGE FORM OINT,TOP
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME DERMAGRAN-B OINT,TOP
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 DERMAGRAN-B TOP OINT
VA PRODUCT IDENTIFIER D0914
TRANSMIT TO CMOP YES
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4031168
EFFECTIVE DATE/TIME
  • 2011-12-09 00:00:00
    STATUS:   ACTIVE