ADHESIVE REMOVER AEROSOL SPRAY COLOPLAST #120105 (25725)    VA PRODUCT (50.68)

Name Value
NAME ADHESIVE REMOVER AEROSOL SPRAY COLOPLAST #120105
VA GENERIC NAME ADHESIVE REMOVER
DOSAGE FORM AEROSOL,TOP
NATIONAL FORMULARY NAME ADHESIVE REMOVER AEROSOL,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 ADHESIVE REMOVER SPRAY COLOPLAST #120105
VA PRODUCT IDENTIFIER XI053
TRANSMIT TO CMOP NO
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4034475
EFFECTIVE DATE/TIME
  • 2015-05-22 00:00:00
    STATUS:   ACTIVE