UNNA BOOT,WITHOUT CALAMINE 3IN X 10YDS (14027)    VA PRODUCT (50.68)

Name Value
NAME UNNA BOOT,WITHOUT CALAMINE 3IN X 10YDS
VA GENERIC NAME UNNA BOOT
DOSAGE FORM BANDAGE
NATIONAL FORMULARY NAME UNNA BOOT BANDAGE
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 UNNA BOOT,WITHOUT CALAMINE 3IN X 10YDS
VA PRODUCT IDENTIFIER XY006
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4014391
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE