LINER,MASK,FULL FACE REMZZZS#K3-FL (24113)    VA PRODUCT (50.68)

Name Value
NAME LINER,MASK,FULL FACE REMZZZS#K3-FL
VA GENERIC NAME LINER
DOSAGE FORM MISCELLANEOUS
NATIONAL FORMULARY NAME LINER MISCELLANEOUS
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 LINER,MASK,FULL FACE REMZZZS#K3-FL
VA PRODUCT IDENTIFIER XH364
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4032644
EFFECTIVE DATE/TIME
  • 2013-08-26 00:00:00
    STATUS:   ACTIVE