COMFORT BATH SAGE #7904 (19182)    VA PRODUCT (50.68)

Name Value
NAME COMFORT BATH SAGE #7904
VA GENERIC NAME COMFORT BATH
DOSAGE FORM MISCELLANEOUS
NATIONAL FORMULARY NAME COMFORT BATH 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 COMFORT BATH SAGE #7904
VA PRODUCT IDENTIFIER XV862
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4027030
EFFECTIVE DATE/TIME
  • 2008-02-05 00:00:00
    STATUS:   ACTIVE