SUNSCREEN 30-50/PHYSICAL BLOCK/PABA-FREE COMBO FACIAL CREAM (24996)    VA PRODUCT (50.68)

Name Value
NAME SUNSCREEN 30-50/PHYSICAL BLOCK/PABA-FREE COMBO FACIAL CREAM
VA GENERIC NAME SUNSCREEN PABA-FREE
DOSAGE FORM CREAM,TOP
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME SUNSCREEN PABA-FREE CREAM,TOP
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 SUNSCREEN 30-50/PHY BLOCK/PABA-F FACE CR
VA PRODUCT IDENTIFIER S0745
TRANSMIT TO CMOP YES
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4033646
EFFECTIVE DATE/TIME
  • 2014-09-02 00:00:00
    STATUS:   ACTIVE