ADAPTER,SUR-FIT NATURA C#4019-93 (21253)    VA PRODUCT (50.68)

Name Value
NAME ADAPTER,SUR-FIT NATURA C#4019-93
VA GENERIC NAME ADAPTER
DOSAGE FORM ADAPTER
NATIONAL FORMULARY NAME ADAPTER ADAPTER
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 ADAPTER,SUR-FIT NATURA C#4019-93
VA PRODUCT IDENTIFIER XT257
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4029386
EFFECTIVE DATE/TIME
  • 2009-12-04 00:00:00
    STATUS:   ACTIVE