ALLKARE ADHESIVE REMOVER PAD C#0374-43 (11701)    VA PRODUCT (50.68)

Name Value
NAME ALLKARE ADHESIVE REMOVER PAD C#0374-43
VA GENERIC NAME ADHESIVE REMOVER
DOSAGE FORM PAD,TOP
CS FEDERAL SCHEDULE Unscheduled
DSS NUMBER 7
NATIONAL FORMULARY NAME ADHESIVE REMOVER PAD,TOP
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 ALLKARE ADHESIVE REMOVER PAD C#0374-43
VA PRODUCT IDENTIFIER XA025
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4012072
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE