BARRIER,OSTOMY,NEW IMAGE H#15104 (27769)    VA PRODUCT (50.68)

Name Value
NAME BARRIER,OSTOMY,NEW IMAGE H#15104
VA GENERIC NAME BARRIER,OSTOMY
DOSAGE FORM BARRIER
NATIONAL FORMULARY NAME BARRIER,OSTOMY BARRIER
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2017-07-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME BARRIER,OSTOMY,NEW IMAGE H#15104
VA PRODUCT IDENTIFIER XI975
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4036724
EFFECTIVE DATE/TIME
  • 2017-06-05 00:00:00
    STATUS:   ACTIVE