BARRIER,SENSURA COLOPLAST #10571 (25382)    VA PRODUCT (50.68)

Name Value
NAME BARRIER,SENSURA COLOPLAST #10571
VA GENERIC NAME BARRIER,OSTOMY
DOSAGE FORM BARRIER
NATIONAL FORMULARY NAME BARRIER,OSTOMY BARRIER
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 BARRIER,SENSURA COLOPLAST #10571
VA PRODUCT IDENTIFIER XH874
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4034095
EFFECTIVE DATE/TIME
  • 2015-01-23 00:00:00
    STATUS:   ACTIVE