TAPE,MEDIPORE SOFT CLOTH 4IN X 2YD 3M #2964 (17146)    VA PRODUCT (50.68)

Name Value
NAME TAPE,MEDIPORE SOFT CLOTH 4IN X 2YD 3M #2964
VA GENERIC NAME TAPE,MEDIPORE SOFT CLOTH
DOSAGE FORM TAPE
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2011-09-13 00:00:00
NATIONAL FORMULARY NAME TAPE,MEDIPORE 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 SOFT 4IN X 2YD 3M#2964
VA PRODUCT IDENTIFIER XZ979
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4024578
EFFECTIVE DATE/TIME
  • 2006-01-24 00:00:00
    STATUS:   ACTIVE
  • 2011-09-13 00:00:00
    STATUS:   INACTIVE