LINER,SECURELY YOURS,ADHESIVE (18055)    VA PRODUCT (50.68)

Name Value
NAME LINER,SECURELY YOURS,ADHESIVE
VA GENERIC NAME SUPPLY
DOSAGE FORM MISCELLANEOUS
NATIONAL FORMULARY NAME SUPPLY 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 LINER,SECURELY YOURS ADHESIVE
VA PRODUCT IDENTIFIER XV193
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4025772
EFFECTIVE DATE/TIME
  • 2006-11-29 00:00:00
    STATUS:   ACTIVE