CLEANSER,UNI WASH (13312)    VA PRODUCT (50.68)

Name Value
NAME CLEANSER,UNI WASH
VA GENERIC NAME SUPPLY
DOSAGE FORM LIQUID,TOP
NATIONAL FORMULARY NAME SUPPLY LIQUID,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 CLEANSER,UNI WASH
VA PRODUCT IDENTIFIER XX765
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4013677
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE