BARRIER,AQUAGUARD 12IN X 14IN #50012 (26233)    VA PRODUCT (50.68)

Name Value
NAME BARRIER,AQUAGUARD 12IN X 14IN #50012
VA GENERIC NAME AQUAGUARD
DOSAGE FORM BARRIER
NATIONAL FORMULARY NAME AQUAGUARD 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,AQUAGUARD 12IN X 14IN #50012
VA PRODUCT IDENTIFIER XI289
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4035031
EFFECTIVE DATE/TIME
  • 2015-11-17 00:00:00
    STATUS:   ACTIVE