SEAL,EAKIN COHESIVE,WRAP C#8390-06 (28010)    VA PRODUCT (50.68)

Name Value
NAME SEAL,EAKIN COHESIVE,WRAP C#8390-06
VA GENERIC NAME BARRIER
DOSAGE FORM BARRIER
NATIONAL FORMULARY NAME BARRIER BARRIER
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2017-12-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME SEAL,EAKIN COHESIVE,WRAP C#8390-06
VA PRODUCT IDENTIFIER XJ077
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4036998
EFFECTIVE DATE/TIME
  • 2017-10-30 00:00:00
    STATUS:   ACTIVE