THICK & EASY STARCH BASED PWDR (26417)    VA PRODUCT (50.68)

Name Value
NAME THICK & EASY STARCH BASED PWDR
VA GENERIC NAME THICK & EASY
DOSAGE FORM POWDER,ORAL
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME THICK & EASY POWDER,ORAL
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME THICK & EASY STARCH BASED PWDR
VA PRODUCT IDENTIFIER T0918
TRANSMIT TO CMOP YES
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4035235
EFFECTIVE DATE/TIME
  • 2015-12-21 00:00:00
    STATUS:   ACTIVE