STOMA CAP,AMPATCH LNR 7/8 IN RD CTR HOLE (22840)    VA PRODUCT (50.68)

Name Value
NAME STOMA CAP,AMPATCH LNR 7/8 IN RD CTR HOLE
VA GENERIC NAME STOMA CAP
DOSAGE FORM STOMA CAP
NATIONAL FORMULARY NAME STOMA CAP STOMA CAP
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 STOMA CAP,AMPATCH LNR 7/8 IN RD CTR HOLE
VA PRODUCT IDENTIFIER XR193
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4031212
EFFECTIVE DATE/TIME
  • 2012-01-06 00:00:00
    STATUS:   ACTIVE