| NAME |
SALIVA,ARTIFICIAL (GC DRY MOUTH) GEL,DENT |
| VA GENERIC NAME |
ARTIFICIAL SALIVA |
| DOSAGE FORM |
GEL,DENT |
| HAZARDOUS TO DISPOSE |
NO |
| CS FEDERAL SCHEDULE |
Unscheduled |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| NATIONAL FORMULARY NAME |
ARTIFICIAL SALIVA GEL,DENT |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2019-09-23 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
ARTIFICIAL SALIVA GC DRY MOUTH DENT GEL |
| VA PRODUCT IDENTIFIER |
A2031 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
TUBE |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4038719 |
| EFFECTIVE DATE/TIME |
-
- 2019-09-25 00:00:00
- STATUS: ACTIVE
|
