LUBRICANT MOISTURIZER VAGINAL LOTION (23988)    VA PRODUCT (50.68)

Name Value
NAME LUBRICANT MOISTURIZER VAGINAL LOTION
VA GENERIC NAME LUBRICANT,VAGINAL
DOSAGE FORM LOTION
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
NATIONAL FORMULARY NAME LUBRICANT,VAGINAL LOTION
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 LUBRICANT MOISTURIZER VAGINAL LOTION
VA PRODUCT IDENTIFIER L0590
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4032507
EFFECTIVE DATE/TIME
  • 2013-06-27 00:00:00
    STATUS:   ACTIVE