SINUS RINSE AYR PKT (22862)    VA PRODUCT (50.68)

Name Value
NAME SINUS RINSE AYR PKT
VA GENERIC NAME SINUS RINSE
DOSAGE FORM MISCELLANEOUS
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME SINUS RINSE MISCELLANEOUS
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME SINUS RINSE AYR PKT
VA PRODUCT IDENTIFIER S0683
TRANSMIT TO CMOP NO
VA DISPENSE UNIT PKT
MASTER ENTRY FOR VUID YES
VUID 4031237
EFFECTIVE DATE/TIME
  • 2012-02-06 00:00:00
    STATUS:   ACTIVE