APPLIANCE CLEANER,PERMA-TYPE #K175 (28336)    VA PRODUCT (50.68)

Name Value
NAME APPLIANCE CLEANER,PERMA-TYPE #K175
VA GENERIC NAME CLEANSER
DOSAGE FORM SOLN
NATIONAL FORMULARY NAME CLEANSER SOLN
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2018-04-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME APPLIANCE CLEANER,PERMA-TYPE #K175
VA PRODUCT IDENTIFIER XJ226
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4037331
EFFECTIVE DATE/TIME
  • 2018-02-23 00:00:00
    STATUS:   ACTIVE