CLEANSER,MEDISAFE SOLN,TOP (21899)    VA PRODUCT (50.68)

Name Value
NAME CLEANSER,MEDISAFE SOLN,TOP
VA GENERIC NAME CLEANSER
DOSAGE FORM SOLN,TOP
NATIONAL FORMULARY NAME CLEANSER SOLN,TOP
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 CLEANSER,MEDISAFE TOP SOLN
VA PRODUCT IDENTIFIER XT680
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4030098
EFFECTIVE DATE/TIME
  • 2010-09-08 00:00:00
    STATUS:   ACTIVE