SKIN BARRIER WIPE COLOPLAST #120215 (24461)    VA PRODUCT (50.68)

Name Value
NAME SKIN BARRIER WIPE COLOPLAST #120215
VA GENERIC NAME BARRIER
DOSAGE FORM PAD
NATIONAL FORMULARY NAME BARRIER PAD
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 SKIN BARRIER WIPE COLOPLAST #120215
VA PRODUCT IDENTIFIER XH505
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4033039
EFFECTIVE DATE/TIME
  • 2014-01-30 00:00:00
    STATUS:   ACTIVE