BORIC ACID SUPP,VAG (27440)    VA PRODUCT (50.68)

Name Value
NAME BORIC ACID SUPP,VAG
VA GENERIC NAME BORIC ACID
DOSAGE FORM SUPP,VAG
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME BORIC ACID SUPP,VAG
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 BORIC ACID VAG SUPP
VA PRODUCT IDENTIFIER B0833
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4036351
EFFECTIVE DATE/TIME
  • 2017-01-13 00:00:00
    STATUS:   ACTIVE