NOSEBLEED TREATMENT KIT (27107)    VA PRODUCT (50.68)

Name Value
NAME NOSEBLEED TREATMENT KIT
VA GENERIC NAME NOSEBLEED
DOSAGE FORM KIT
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME NOSEBLEED KIT
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME NOSEBLEED TREATMENT KIT
VA PRODUCT IDENTIFIER N0780
TRANSMIT TO CMOP NO
VA DISPENSE UNIT KIT
MASTER ENTRY FOR VUID YES
VUID 4035983
EFFECTIVE DATE/TIME
  • 2016-08-12 00:00:00
    STATUS:   ACTIVE