TAPE,PINK 1.5IN X 5YD NU-HOPE #1615 (17891)    VA PRODUCT (50.68)

Name Value
NAME TAPE,PINK 1.5IN X 5YD NU-HOPE #1615
VA GENERIC NAME TAPE
DOSAGE FORM TAPE
NATIONAL FORMULARY NAME TAPE 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,PINK 1.5IN X 5YD NU-HOPE #1615
VA PRODUCT IDENTIFIER XV130
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4025578
EFFECTIVE DATE/TIME
  • 2006-09-05 00:00:00
    STATUS:   ACTIVE