SKIN PROTECTANT,MARATHON (25028)    VA PRODUCT (50.68)

Name Value
NAME SKIN PROTECTANT,MARATHON
VA GENERIC NAME SUPPLY
DOSAGE FORM LIQUID,TOP
NATIONAL FORMULARY NAME SUPPLY LIQUID,TOP
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 PROTECTANT,MARATHON
VA PRODUCT IDENTIFIER XH954
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4033683
EFFECTIVE DATE/TIME
  • 2014-09-19 00:00:00
    STATUS:   ACTIVE