SKIN BARRIER WIPE TORBOT SKIN TAC (24585)    VA PRODUCT (50.68)

Name Value
NAME SKIN BARRIER WIPE TORBOT SKIN TAC
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 TORBOT SKIN TAC
VA PRODUCT IDENTIFIER XH559
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4033183
EFFECTIVE DATE/TIME
  • 2014-03-25 00:00:00
    STATUS:   ACTIVE