RESERVOIR,T:SLIM G4/X2,3ML (28189)    VA PRODUCT (50.68)

Name Value
NAME RESERVOIR,T:SLIM G4/X2,3ML
VA GENERIC NAME RESERVOIR,T:SLIM
DOSAGE FORM MISCELLANEOUS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2018-05-02 00:00:00
NATIONAL FORMULARY NAME RESERVOIR,T:SLIM MISCELLANEOUS
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2018-02-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME RESERVOIR,T:SLIM G4/X2 3ML
VA PRODUCT IDENTIFIER XJ157
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4037168
EFFECTIVE DATE/TIME
  • 2017-12-19 00:00:00
    STATUS:   ACTIVE
  • 2018-05-02 00:00:00
    STATUS:   INACTIVE