
| Name | Value |
|---|---|
| NAME | NOSEBLEED QR KIT |
| VA GENERIC NAME | NOSEBLEED |
| DOSAGE FORM | POWDER |
| ACTIVE INGREDIENTS |
|
| NATIONAL FORMULARY NAME | NOSEBLEED POWDER |
| CREATE DEFAULT POSSIBLE DOSAGE | YES |
| CODING SYSTEM |
|
| COPAY TIER |
|
| PGX ELIGIBLE | NO |
| PGX SUPPRESSED | NO |
| VA PRINT NAME | NOSEBLEED QR KIT |
| VA PRODUCT IDENTIFIER | N0608 |
| TRANSMIT TO CMOP | YES |
| VA DISPENSE UNIT | KIT |
| MASTER ENTRY FOR VUID | YES |
| VUID | 4029133 |
| EFFECTIVE DATE/TIME |
|