WAFER,SUR-FIT C#1685-62 (12438)    VA PRODUCT (50.68)

Name Value
NAME WAFER,SUR-FIT C#1685-62
VA GENERIC NAME WAFER
DOSAGE FORM WAFER
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 1999-06-16 00:00:00
DSS NUMBER 7
NATIONAL FORMULARY NAME WAFER WAFER
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 WAFER,SUR-FIT C#1685-62
VA PRODUCT IDENTIFIER XX298
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4012804
EFFECTIVE DATE/TIME
  • 1999-06-16 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE