KARAYA GUM WASHER,TORBOT #AT0312 (19704)    VA PRODUCT (50.68)

Name Value
NAME KARAYA GUM WASHER,TORBOT #AT0312
VA GENERIC NAME KARAYA GUM
DOSAGE FORM WASHER
NATIONAL FORMULARY NAME KARAYA GUM WASHER
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 KARAYA GUM WASHER,TORBOT #AT0312
VA PRODUCT IDENTIFIER XU224
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4027618
EFFECTIVE DATE/TIME
  • 2008-07-17 00:00:00
    STATUS:   ACTIVE