TRIPLE CARE SKIN CARE KIT (15118)    VA PRODUCT (50.68)

Name Value
NAME TRIPLE CARE SKIN CARE KIT
VA GENERIC NAME SKIN PROTECTIVE
DOSAGE FORM KIT
NATIONAL FORMULARY NAME SKIN PROTECTIVE KIT
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 TRIPLE CARE SKIN CARE KIT
VA PRODUCT IDENTIFIER T0516
TRANSMIT TO CMOP YES
VA DISPENSE UNIT KIT
MASTER ENTRY FOR VUID YES
VUID 4015482
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE