SHILAJIT CAP/TAB (24372)    VA PRODUCT (50.68)

Name Value
NAME SHILAJIT CAP/TAB
VA GENERIC NAME SHILAJIT
DOSAGE FORM CAP/TAB
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME SHILAJIT 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 SHILAJIT CAP/TAB
VA PRODUCT IDENTIFIER S0720
TRANSMIT TO CMOP NO
VA DISPENSE UNIT CAP/TAB
MASTER ENTRY FOR VUID YES
VUID 4032940
EFFECTIVE DATE/TIME
  • 2013-12-19 00:00:00
    STATUS:   ACTIVE