KARAYA WASHER,PERMA-TYPE #G1510114 (24063)    VA PRODUCT (50.68)

Name Value
NAME KARAYA WASHER,PERMA-TYPE #G1510114
VA GENERIC NAME WAFER
DOSAGE FORM WASHER
NATIONAL FORMULARY NAME WAFER WASHER
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 KARAYA WASHER,PERMA-TYPE #G1510114
VA PRODUCT IDENTIFIER XH358
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4032590
EFFECTIVE DATE/TIME
  • 2013-07-31 00:00:00
    STATUS:   ACTIVE