EYE PAD STERILE (11717)    VA PRODUCT (50.68)

Name Value
NAME EYE PAD STERILE
VA GENERIC NAME PAD,EYE
DOSAGE FORM PAD
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
DSS NUMBER 1
NATIONAL FORMULARY NAME PAD,EYE PAD
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 EYE PAD STERILE
VA PRODUCT IDENTIFIER XS866
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4012088
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE