TAPE,MEDIPORE H SOFT CLOTH 4IN X 2YD 3M #2864S (16999)    VA PRODUCT (50.68)

Name Value
NAME TAPE,MEDIPORE H SOFT CLOTH 4IN X 2YD 3M #2864S
VA GENERIC NAME TAPE,MEDIPORE H SOFT CLOTH
DOSAGE FORM TAPE
NATIONAL FORMULARY NAME TAPE,MEDIPORE H SOFT CLOTH 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,MEDIPORE H SOFT 4IN X 2YD 3M#2864S
VA PRODUCT IDENTIFIER XZ918
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4017362
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE