PAD,MOLE SKIN DR SCHOLL 4 1/8IN X 3 3/8IN STRIP (19804)    VA PRODUCT (50.68)

Name Value
NAME PAD,MOLE SKIN DR SCHOLL 4 1/8IN X 3 3/8IN STRIP
VA GENERIC NAME MOLE SKIN
DOSAGE FORM PAD
NATIONAL FORMULARY NAME MOLE SKIN PAD
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 PAD,MOLE SKIN 4 1/8 X 3 3/8IN STRIP
VA PRODUCT IDENTIFIER XU359
TRANSMIT TO CMOP NO
VA DISPENSE UNIT STRIP
MASTER ENTRY FOR VUID YES
VUID 4027734
EFFECTIVE DATE/TIME
  • 2008-08-20 00:00:00
    STATUS:   ACTIVE