ADAPTSKIN 90 CREAM,TOP (24731)    VA PRODUCT (50.68)

Name Value
NAME ADAPTSKIN 90 CREAM,TOP
VA GENERIC NAME ADAPTSKIN
DOSAGE FORM CREAM,TOP
NATIONAL FORMULARY NAME ADAPTSKIN CREAM,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME ADAPTSKIN 90 TOP CREAM
VA PRODUCT IDENTIFIER A1754
TRANSMIT TO CMOP NO
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4033351
EFFECTIVE DATE/TIME
  • 2014-05-27 00:00:00
    STATUS:   ACTIVE