DIMETHYL ETHER,PROPANE WART REMOVAL KIT (16875)    VA PRODUCT (50.68)

Name Value
NAME DIMETHYL ETHER,PROPANE WART REMOVAL KIT
VA GENERIC NAME DIMETHYL ETHER/PROPANE
DOSAGE FORM AEROSOL,TOP
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME DIMETHYL ETHER/PROPANE AEROSOL,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DIMETHYL ETHER,PROPANE WART REMOVAL KIT
VA PRODUCT IDENTIFIER D0646
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4017238
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE