BAG,BROWN PAPER WAX (19664)    VA PRODUCT (50.68)

Name Value
NAME BAG,BROWN PAPER WAX
VA GENERIC NAME BAG,BROWN
DOSAGE FORM MISCELLANEOUS
NATIONAL FORMULARY NAME BAG,BROWN 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 BAG,BROWN PAPER WAX
VA PRODUCT IDENTIFIER B0607
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4027578
EFFECTIVE DATE/TIME
  • 2008-07-17 00:00:00
    STATUS:   ACTIVE