ADHESIVE REMOVER WIPE,ALCOHOL FREE (26684)    VA PRODUCT (50.68)

Name Value
NAME ADHESIVE REMOVER WIPE,ALCOHOL FREE
VA GENERIC NAME ADHESIVE REMOVER
DOSAGE FORM WIPE
NATIONAL FORMULARY NAME ADHESIVE REMOVER WIPE
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 WIPE,ALCOHOL FREE
VA PRODUCT IDENTIFIER XI451
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4035520
EFFECTIVE DATE/TIME
  • 2016-03-17 00:00:00
    STATUS:   ACTIVE