TAPE,MEDIPORE SOFT CLOTH 6IN X 2YD 3M #2966S (22666)    VA PRODUCT (50.68)

Name Value
NAME TAPE,MEDIPORE SOFT CLOTH 6IN X 2YD 3M #2966S
VA GENERIC NAME TAPE,MEDIPORE SOFT CLOTH
DOSAGE FORM TAPE
NATIONAL FORMULARY NAME TAPE,MEDIPORE SOFT CLOTH 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,MEDIPORE SOFT 6IN X 2YD 3M#2966S
VA PRODUCT IDENTIFIER XR130
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4031001
EFFECTIVE DATE/TIME
  • 2011-10-11 00:00:00
    STATUS:   ACTIVE