TAPE STRIP,EXTRA WIDE ADHERING NU-HOPE#2332 (25771)    VA PRODUCT (50.68)

Name Value
NAME TAPE STRIP,EXTRA WIDE ADHERING NU-HOPE#2332
VA GENERIC NAME TAPE
DOSAGE FORM TAPE
NATIONAL FORMULARY NAME TAPE TAPE
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 TAPE STRIP,X-WIDE ADHERING NU-HOPE#2332
VA PRODUCT IDENTIFIER XI067
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4034522
EFFECTIVE DATE/TIME
  • 2015-06-12 00:00:00
    STATUS:   ACTIVE