GLYCERIN (PEDIATRIC) SUPP,RTL (4488)    VA PRODUCT (50.68)

Name Value
NAME GLYCERIN (PEDIATRIC) SUPP,RTL
VA GENERIC NAME GLYCERIN
DOSAGE FORM SUPP,RTL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
DSS NUMBER 8
NATIONAL FORMULARY NAME GLYCERIN SUPP,RTL
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
TRANSMIT TO CMOP NO
MASTER ENTRY FOR VUID YES
VUID 4005035
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE