| NAME |
SIMPLYTHICK 6GM/PUMP,GEL,ORAL |
| VA GENERIC NAME |
SIMPLYTHICK |
| DOSAGE FORM |
GEL,ORAL |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| NATIONAL FORMULARY NAME |
SIMPLYTHICK GEL,ORAL |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2018-05-01 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
SIMPLYTHICK 6GM/PUMP ORAL GEL |
| VA PRODUCT IDENTIFIER |
S0846 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
BTL |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4037428 |
| EFFECTIVE DATE/TIME |
-
- 2018-03-30 00:00:00
- STATUS: ACTIVE
|
