| NAME |
RESERVOIR,T:SLIM W/T:LOCK,3ML |
| VA GENERIC NAME |
RESERVOIR,T:SLIM |
| DOSAGE FORM |
MISCELLANEOUS |
| CS FEDERAL SCHEDULE |
Unscheduled |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| NATIONAL FORMULARY NAME |
RESERVOIR,T:SLIM MISCELLANEOUS |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2018-06-01 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
RESERVOIR,T:SLIM W/T:LOCK,3ML |
| VA PRODUCT IDENTIFIER |
XJ286 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4037468 |
| EFFECTIVE DATE/TIME |
-
- 2018-04-18 00:00:00
- STATUS: ACTIVE
|
