SHEET,ABSORBENT TRANQUILITY #3191 (28360)    VA PRODUCT (50.68)

Name Value
NAME SHEET,ABSORBENT TRANQUILITY #3191
VA GENERIC NAME LINER
DOSAGE FORM MISCELLANEOUS
NATIONAL FORMULARY NAME LINER MISCELLANEOUS
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 SHEET,ABSORBENT TRANQUILITY #3191
VA PRODUCT IDENTIFIER XJ244
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4037361
EFFECTIVE DATE/TIME
  • 2018-03-05 00:00:00
    STATUS:   ACTIVE