TAPE,FABRIC MEFIX 2IN X 11YD (23342)    VA PRODUCT (50.68)

Name Value
NAME TAPE,FABRIC MEFIX 2IN X 11YD
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,FABRIC MEFIX 2IN X 11YD
VA PRODUCT IDENTIFIER XH027
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ROLL
MASTER ENTRY FOR VUID YES
VUID 4031793
EFFECTIVE DATE/TIME
  • 2012-11-27 00:00:00
    STATUS:   ACTIVE