| NAME |
SENSI-CARE NO STING BARRIER SPRAY C#413502 |
| VA GENERIC NAME |
BARRIER |
| DOSAGE FORM |
AEROSOL,TOP |
| NATIONAL FORMULARY NAME |
BARRIER AEROSOL,TOP |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2018-01-01 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
SENSI-CARE NO STING SPRAY C#413502 |
| VA PRODUCT IDENTIFIER |
XJ133 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4037093 |
| EFFECTIVE DATE/TIME |
-
- 2017-11-21 00:00:00
- STATUS: ACTIVE
|
