SKIN BARRIER FILM AERO 165GM BARD 740014 (12149)    VA PRODUCT (50.68)

Name Value
NAME SKIN BARRIER FILM AERO 165GM BARD 740014
VA GENERIC NAME BARRIER
DOSAGE FORM AEROSOL,TOP
CS FEDERAL SCHEDULE Unscheduled
DSS NUMBER 1
NATIONAL FORMULARY NAME BARRIER AEROSOL,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 SKIN BARRIER FILM AERO 165GM BARD 740014
VA PRODUCT IDENTIFIER XS988
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4012515
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE