TAPE,ELASTIC CLOTH 4IN X 2.5YD J&J#5177 (23008)    VA PRODUCT (50.68)

Name Value
NAME TAPE,ELASTIC CLOTH 4IN X 2.5YD J&J#5177
VA GENERIC NAME TAPE
DOSAGE FORM TAPE
NATIONAL FORMULARY NAME TAPE 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,ELASTIC CLOTH 4IN X 2.5YD J&J#5177
VA PRODUCT IDENTIFIER XR280
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ROLL
MASTER ENTRY FOR VUID YES
VUID 4031392
EFFECTIVE DATE/TIME
  • 2012-04-06 00:00:00
    STATUS:   ACTIVE