TAPE,PAPER 3IN (15940)    VA PRODUCT (50.68)

Name Value
NAME TAPE,PAPER 3IN
VA GENERIC NAME TAPE
DOSAGE FORM TAPE
NATIONAL FORMULARY NAME TAPE TAPE
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 TAPE,PAPER 3IN
VA PRODUCT IDENTIFIER XZ535
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ROLL
MASTER ENTRY FOR VUID YES
VUID 4016303
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE