| NAME |
POTASSIUM PARA-AMINOBENZOATE 2GM/PKG PWDR,ORAL |
| VA GENERIC NAME |
POTASSIUM PARA-AMINOBENZOATE |
| DOSAGE FORM |
POWDER,ORAL |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
2 |
| INACTIVATION DATE |
2011-07-08 00:00:00 |
| UNITS |
GM/PKG |
| DSS NUMBER |
2 |
| NATIONAL FORMULARY NAME |
POTASSIUM PARA-AMINOBENZOATE POWDER,ORAL |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
PARA-AMINOBENZOATE K 2GM/PKT ORAL PWD |
| VA PRODUCT IDENTIFIER |
P0091 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
PKT |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4007586 |
| EFFECTIVE DATE/TIME |
-
- 2005-03-10 00:00:00
- STATUS: ACTIVE
-
- 2011-07-08 00:00:00
- STATUS: INACTIVE
|
