KARAYA PASTE H#7910 (22894)    VA PRODUCT (50.68)

Name Value
NAME KARAYA PASTE H#7910
VA GENERIC NAME KARAYA GUM
DOSAGE FORM PASTE
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME KARAYA GUM PASTE
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME KARAYA PASTE H#7910
VA PRODUCT IDENTIFIER XS124
TRANSMIT TO CMOP NO
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4031269
EFFECTIVE DATE/TIME
  • 2012-02-06 00:00:00
    STATUS:   ACTIVE