THICK & EASY (NECTAR) GUM BASED PWDR,PKT,1.4GM (27498)    VA PRODUCT (50.68)

Name Value
NAME THICK & EASY (NECTAR) GUM BASED PWDR,PKT,1.4GM
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:   2017-04-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME THICK&EASY(NECTAR)GUM BASE PWDR,PKT,1.4G
VA PRODUCT IDENTIFIER T0949
TRANSMIT TO CMOP NO
VA DISPENSE UNIT PKT
MASTER ENTRY FOR VUID YES
VUID 4036411
EFFECTIVE DATE/TIME
  • 2017-02-14 00:00:00
    STATUS:   ACTIVE