| NAME |
ADHESIVE REMOVER SPRAY H#7737 |
| VA GENERIC NAME |
ADHESIVE REMOVER |
| DOSAGE FORM |
SPRAY,TOP |
| NATIONAL FORMULARY NAME |
ADHESIVE REMOVER SPRAY,TOP |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2017-04-01 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
ADHESIVE REMOVER SPRAY H#7737 |
| VA PRODUCT IDENTIFIER |
XI863 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
CAN |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4036427 |
| EFFECTIVE DATE/TIME |
-
- 2017-02-21 00:00:00
- STATUS: ACTIVE
|
