| NAME |
ETHIODIZED OIL 480MG (IODINE)/ML INJ,OIL |
| VA GENERIC NAME |
ETHIODIZED OIL |
| DOSAGE FORM |
INJ (IN OIL) |
| ACTIVE INGREDIENTS |
|
| STRENGTH |
480 |
| UNITS |
MG/ML |
| NATIONAL FORMULARY NAME |
ETHIODIZED OIL INJ (IN OIL) |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
ETHIODIZED OIL 480MG (IODINE)/ML OIL INJ |
| VA PRODUCT IDENTIFIER |
E0701 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
ML |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4036284 |
| EFFECTIVE DATE/TIME |
-
- 2016-12-19 00:00:00
- STATUS: ACTIVE
|
