ELECTRODE CONDUCTING SOLUTION AS#ACSR (28269)    VA PRODUCT (50.68)

Name Value
NAME ELECTRODE CONDUCTING SOLUTION AS#ACSR
VA GENERIC NAME SUPPLY
DOSAGE FORM SPRAY,TOP
NATIONAL FORMULARY NAME SUPPLY SPRAY,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2018-03-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME ELECTRODE CONDUCTING SOLUTION AS#ACSR
VA PRODUCT IDENTIFIER XJ197
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4037257
EFFECTIVE DATE/TIME
  • 2018-01-29 00:00:00
    STATUS:   ACTIVE