BARRIER,BRAVA COLOPLAST #12037 (28362)    VA PRODUCT (50.68)

Name Value
NAME BARRIER,BRAVA COLOPLAST #12037
VA GENERIC NAME BARRIER,OSTOMY
DOSAGE FORM BARRIER
NATIONAL FORMULARY NAME BARRIER,OSTOMY BARRIER
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 BARRIER,BRAVA COLOPLAST #12037
VA PRODUCT IDENTIFIER XJ246
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4037363
EFFECTIVE DATE/TIME
  • 2018-03-08 00:00:00
    STATUS:   ACTIVE