| NAME |
LUBRICANT MOISTURIZER VAGINAL SUPPOSITORY |
| VA GENERIC NAME |
LUBRICANT,VAGINAL |
| DOSAGE FORM |
SUPP,VAG |
| HAZARDOUS TO DISPOSE |
NO |
| NATIONAL FORMULARY NAME |
LUBRICANT,VAGINAL SUPP,VAG |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2022-02-02 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
LUBRICANT MOISTURIZER VAG SUPPOSITORY |
| VA PRODUCT IDENTIFIER |
L0890 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4041126 |
| EFFECTIVE DATE/TIME |
-
- 2022-02-02 00:00:00
- STATUS: ACTIVE
|
