TAPE,MEPITAC SILICONE 0.75IN X 3YD #298300 (22154)    VA PRODUCT (50.68)

Name Value
NAME TAPE,MEPITAC SILICONE 0.75IN X 3YD #298300
VA GENERIC NAME TAPE
DOSAGE FORM TAPE
NATIONAL FORMULARY NAME TAPE TAPE
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 TAPE,SILICONE MEPITAC 0.75INX3YD #298300
VA PRODUCT IDENTIFIER T0758
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4030406
EFFECTIVE DATE/TIME
  • 2011-02-09 00:00:00
    STATUS:   ACTIVE