STOMA CAP,AMPATCH G3 (23387)    VA PRODUCT (50.68)

Name Value
NAME STOMA CAP,AMPATCH G3
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 G3
VA PRODUCT IDENTIFIER XH057
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4031843
EFFECTIVE DATE/TIME
  • 2012-12-18 00:00:00
    STATUS:   ACTIVE