PASTE,ADAPT H#79300 (16446)    VA PRODUCT (50.68)

Name Value
NAME PASTE,ADAPT H#79300
VA GENERIC NAME ADAPT
DOSAGE FORM PASTE
NATIONAL FORMULARY NAME ADPAT PASTE
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 PASTE,ADAPT H#79300
VA PRODUCT IDENTIFIER P0667
TRANSMIT TO CMOP YES
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4016809
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE