STOMA GEL,TOP (28865)    VA PRODUCT (50.68)

Name Value
NAME STOMA GEL,TOP
VA GENERIC NAME SILICONE
DOSAGE FORM GEL,TOP
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME SILICONE GEL,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2018-10-26 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME STOMA TOP GEL
VA PRODUCT IDENTIFIER XJ487
TRANSMIT TO CMOP NO
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4037943
EFFECTIVE DATE/TIME
  • 2018-10-26 00:00:00
    STATUS:   ACTIVE