ADHESIVE REMOVER SPRAY,STERILE C#420798 (27070)    VA PRODUCT (50.68)

Name Value
NAME ADHESIVE REMOVER SPRAY,STERILE C#420798
VA GENERIC NAME ADHESIVE REMOVER
DOSAGE FORM SPRAY,TOP
NATIONAL FORMULARY NAME ADHESIVE REMOVER SPRAY,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 ADHESIVE REMOVER SPRAY,STERILE C#420798
VA PRODUCT IDENTIFIER XI624
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4035944
EFFECTIVE DATE/TIME
  • 2016-07-29 00:00:00
    STATUS:   ACTIVE