ORAL,SWAB TOOTHETTE PLUS W/SODIUM BICARBONATE (18613)    VA PRODUCT (50.68)

Name Value
NAME ORAL,SWAB TOOTHETTE PLUS W/SODIUM BICARBONATE
VA GENERIC NAME ORAL,SWAB
DOSAGE FORM MISCELLANEOUS
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME ORAL,SWAB 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 ORAL,SWAB TOOTHETTE PLUS W/NA BICARB
VA PRODUCT IDENTIFIER XV444
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4026413
EFFECTIVE DATE/TIME
  • 2007-08-30 00:00:00
    STATUS:   ACTIVE