BABY WIPES (AF,FF) REFILL (17054)    VA PRODUCT (50.68)

Name Value
NAME BABY WIPES (AF,FF) REFILL
VA GENERIC NAME CLEANSING CLOTH
DOSAGE FORM MISCELLANEOUS
NATIONAL FORMULARY NAME CLEANSING CLOTH MISCELLANEOUS
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 BABY WIPES (AF,FF) REFILL
VA PRODUCT IDENTIFIER XZ933
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4024486
EFFECTIVE DATE/TIME
  • 2006-01-24 00:00:00
    STATUS:   ACTIVE