ANASTASIA FOOT CREAM (25035)    VA PRODUCT (50.68)

Name Value
NAME ANASTASIA FOOT CREAM
VA GENERIC NAME ANASTASIA
DOSAGE FORM CREAM,TOP
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME ANASTASIA 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 ANASTASIA FOOT CREAM
VA PRODUCT IDENTIFIER A1764
TRANSMIT TO CMOP NO
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4033692
EFFECTIVE DATE/TIME
  • 2014-09-23 00:00:00
    STATUS:   ACTIVE