STOMAHESIVE STRIP (12314)    VA PRODUCT (50.68)

Name Value
NAME STOMAHESIVE STRIP
VA GENERIC NAME SUPPLY
DOSAGE FORM STRIP
CS FEDERAL SCHEDULE Unscheduled
DSS NUMBER 59
NATIONAL FORMULARY NAME SUPPLY STRIP
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 STOMAHESIVE STRIP
VA PRODUCT IDENTIFIER XX314
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4012680
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE