WAFER,DURAHESIVE W/CONVEX-IT C#1252-80 (13368)    VA PRODUCT (50.68)

Name Value
NAME WAFER,DURAHESIVE W/CONVEX-IT C#1252-80
VA GENERIC NAME DURAHESIVE WAFER
DOSAGE FORM WAFER
NATIONAL FORMULARY NAME DURAHESIVE 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,DURAHESIVE W/CONVEX-IT C#1252-80
VA PRODUCT IDENTIFIER XX750
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4013733
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE