| NAME |
LACTOBACILLUS POWDER PKT,ORAL |
| VA GENERIC NAME |
LACTOBACILLUS |
| DOSAGE FORM |
POWDER,ORAL |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| INACTIVATION DATE |
2023-05-15 00:00:00 |
| NATIONAL FORMULARY NAME |
LACTOBACILLUS POWDER,ORAL |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
LACTOBACILLUS ORAL POWDER PKT |
| VA PRODUCT IDENTIFIER |
L0576 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
PKT |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4032313 |
| EFFECTIVE DATE/TIME |
-
- 2013-04-16 00:00:00
- STATUS: ACTIVE
-
- 2023-05-15 00:00:00
- STATUS: INACTIVE
|
