| NAME |
EMU OIL/GLUCOSAMINE/MSM/ALOE CREAM,TOP |
| VA GENERIC NAME |
ALOE/EMU OIL/GLUCOSAMINE/MSM |
| DOSAGE FORM |
CREAM,TOP |
| ACTIVE INGREDIENTS |
|
| NATIONAL FORMULARY NAME |
ALOE/EMU OIL/GLUCOSAMINE/MSM CREAM,TOP |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
BLUE-EMU TOP CREAM |
| VA PRODUCT IDENTIFIER |
B0779 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
GM |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4034865 |
| EFFECTIVE DATE/TIME |
-
- 2015-10-05 00:00:00
- STATUS: ACTIVE
|
