ADAPTER,SUR-FIT NATURA C#4019-95 (22256)    VA PRODUCT (50.68)

Name Value
NAME ADAPTER,SUR-FIT NATURA C#4019-95
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#4019-95
VA PRODUCT IDENTIFIER XT881
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4030524
EFFECTIVE DATE/TIME
  • 2011-04-08 00:00:00
    STATUS:   ACTIVE