PASTE,ADAPT H#79301 (21365)    VA PRODUCT (50.68)

Name Value
NAME PASTE,ADAPT H#79301
VA GENERIC NAME ADAPT
DOSAGE FORM PASTE
NATIONAL FORMULARY NAME ADAPT PASTE
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 PASTE,ADAPT H#79301
VA PRODUCT IDENTIFIER P0936
TRANSMIT TO CMOP NO
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4029508
EFFECTIVE DATE/TIME
  • 2010-01-12 00:00:00
    STATUS:   ACTIVE