HERBAL ESTROGEN BALANCE LIQUID,ORAL (24799)    VA PRODUCT (50.68)

Name Value
NAME HERBAL ESTROGEN BALANCE LIQUID,ORAL
VA GENERIC NAME MULTIVITAMIN,HERBAL
DOSAGE FORM LIQUID,ORAL
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME MULTIVITAMIN,HERBAL LIQUID,ORAL
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 HERBAL ESTROGEN BALANCE ORAL LIQ
VA PRODUCT IDENTIFIER H0661
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4033433
EFFECTIVE DATE/TIME
  • 2014-06-23 00:00:00
    STATUS:   ACTIVE