PASTE,STRIP COLOPLAST #26555 (23426)    VA PRODUCT (50.68)

Name Value
NAME PASTE,STRIP COLOPLAST #26555
VA GENERIC NAME SUPPLY
DOSAGE FORM PASTE
NATIONAL FORMULARY NAME SUPPLY PASTE
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 PASTE,STRIP COLOPLAST #26555
VA PRODUCT IDENTIFIER XJ251
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4031883
EFFECTIVE DATE/TIME
  • 2012-12-18 00:00:00
    STATUS:   ACTIVE