TAPE,SILICONE 2IN X 1.5YD 3M #2770S-2 (23742)    VA PRODUCT (50.68)

Name Value
NAME TAPE,SILICONE 2IN X 1.5YD 3M #2770S-2
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,SILICONE 2IN X 1.5YD 3M #2770S-2
VA PRODUCT IDENTIFIER XH240
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ROLL
MASTER ENTRY FOR VUID YES
VUID 4032234
EFFECTIVE DATE/TIME
  • 2013-03-18 00:00:00
    STATUS:   ACTIVE