SEAL,EAKIN COHESIVE,SLIMS C#8390-05 (22104)    VA PRODUCT (50.68)

Name Value
NAME SEAL,EAKIN COHESIVE,SLIMS C#8390-05
VA GENERIC NAME BARRIER
DOSAGE FORM BARRIER
NATIONAL FORMULARY NAME BARRIER BARRIER
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 SEAL,EAKIN COHESIVE,SLIMS C#8390-05
VA PRODUCT IDENTIFIER XT792
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4030353
EFFECTIVE DATE/TIME
  • 2011-01-11 00:00:00
    STATUS:   ACTIVE