TAPE,PINK 1IN X 5YD PERMA-TYPE (27024)    VA PRODUCT (50.68)

Name Value
NAME TAPE,PINK 1IN X 5YD PERMA-TYPE
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,PINK 1IN X 5YD PERMA-TYPE
VA PRODUCT IDENTIFIER XI607
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4035894
EFFECTIVE DATE/TIME
  • 2016-07-15 00:00:00
    STATUS:   ACTIVE