STOMA LUBRICANT H#7740 (22892)    VA PRODUCT (50.68)

Name Value
NAME STOMA LUBRICANT H#7740
VA GENERIC NAME LUBRICANT,STOMA
DOSAGE FORM MISCELLANEOUS
NATIONAL FORMULARY NAME LUBRICANT,STOMA MISCELLANEOUS
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 LUBRICANT H#7740
VA PRODUCT IDENTIFIER XS598
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4031267
EFFECTIVE DATE/TIME
  • 2012-02-06 00:00:00
    STATUS:   ACTIVE