ENZYMATIC RAIN DEODORANT CLEANER (30787)    VA PRODUCT (50.68)

Name Value
NAME ENZYMATIC RAIN DEODORANT CLEANER
VA GENERIC NAME DEODORANT
DOSAGE FORM SOLN
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME DEODORANT SOLN
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-03-02 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME ENZYMATIC RAIN DEODORANT CLEANER
VA PRODUCT IDENTIFIER XK432
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4040122
EFFECTIVE DATE/TIME
  • 2021-03-02 00:00:00
    STATUS:   ACTIVE
  • 2021-03-02 00:00:00
    STATUS:   ACTIVE
  • 2021-03-02 00:00:00
    STATUS:   ACTIVE