WINE (3217)    VA PRODUCT (50.68)

Name Value
NAME WINE
VA GENERIC NAME ALCOHOL
DOSAGE FORM LIQUID
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2021-01-28 00:00:00
DSS NUMBER 15
NATIONAL FORMULARY NAME ALCOHOL LIQUID
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME WINE
VA PRODUCT IDENTIFIER W0015
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4003787
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2008-08-14 00:00:00
    STATUS:   INACTIVE
  • 2008-08-20 00:00:00
    STATUS:   ACTIVE
  • 2021-01-28 00:00:00
    STATUS:   INACTIVE
  • 2021-01-28 00:00:00
    STATUS:   INACTIVE
  • 2021-01-28 00:00:00
    STATUS:   INACTIVE