KARAYA PASTE H#7919,60GM (9355)    VA PRODUCT (50.68)

Name Value
NAME KARAYA PASTE H#7919,60GM
VA GENERIC NAME KARAYA GUM
DOSAGE FORM PASTE
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2009-11-18 00:00:00
DSS NUMBER 4
NATIONAL FORMULARY NAME KARAYA GUM PASTE
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME KARAYA PASTE H#7919
VA PRODUCT IDENTIFIER XS125
TRANSMIT TO CMOP YES
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4009778
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2009-11-18 00:00:00
    STATUS:   INACTIVE
  • 2009-11-18 00:00:00
    STATUS:   INACTIVE