THICK & EASY (HONEY) GUM BASED PWDR,PKT,3.2GM (31349)    VA PRODUCT (50.68)

Name Value
NAME THICK & EASY (HONEY) GUM BASED PWDR,PKT,3.2GM
VA GENERIC NAME THICK & EASY
DOSAGE FORM POWDER,ORAL
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME THICK & EASY POWDER,ORAL
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-08-04 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME THICK&EASY(HONEY) GUM BASE PWDR PKT 3.2G
VA PRODUCT IDENTIFIER T1091
TRANSMIT TO CMOP NO
VA DISPENSE UNIT PKT
MASTER ENTRY FOR VUID YES
VUID 4040723
EFFECTIVE DATE/TIME
  • 2021-08-04 00:00:00
    STATUS:   ACTIVE
  • 2021-08-04 00:00:00
    STATUS:   ACTIVE