SKIN BARRIER SPRAY C#420797 (26573)    VA PRODUCT (50.68)

Name Value
NAME SKIN BARRIER SPRAY C#420797
VA GENERIC NAME BARRIER
DOSAGE FORM AEROSOL,TOP
NATIONAL FORMULARY NAME BARRIER 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 SKIN BARRIER SPRAY C#420797
VA PRODUCT IDENTIFIER XI406
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4035407
EFFECTIVE DATE/TIME
  • 2016-02-17 00:00:00
    STATUS:   ACTIVE