| NAME |
TRACE ELEMENTS,PEDIATRIC INJ |
| VA GENERIC NAME |
TRACE ELEMENTS |
| DOSAGE FORM |
INJ,SOLN |
| ACTIVE INGREDIENTS |
|
| NATIONAL FORMULARY NAME |
TRACE ELEMENTS INJ,SOLN |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
TRACE ELEMENTS PEDIATRIC INJ |
| VA PRODUCT IDENTIFIER |
T0843 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
ML |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4032947 |
| EFFECTIVE DATE/TIME |
-
- 2013-12-19 00:00:00
- STATUS: ACTIVE
|
