ADHESIVE,NU-HOPE #2400 (19242)    VA PRODUCT (50.68)

Name Value
NAME ADHESIVE,NU-HOPE #2400
VA GENERIC NAME ADHESIVE,MEDICAL
DOSAGE FORM LIQUID,TOP
NATIONAL FORMULARY NAME ADHESIVE,MEDICAL LIQUID,TOP
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 ADHESIVE,NU-HOPE #2400
VA PRODUCT IDENTIFIER XV913
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4027090
EFFECTIVE DATE/TIME
  • 2008-02-05 00:00:00
    STATUS:   ACTIVE