| NAME |
ELECTRODE CREAM,TOP |
| VA GENERIC NAME |
SUPPLY |
| DOSAGE FORM |
CREAM |
| HAZARDOUS TO DISPOSE |
NO |
| NATIONAL FORMULARY NAME |
SUPPLY CREAM |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2019-08-14 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
ELECTRODE TOP CREAM |
| VA PRODUCT IDENTIFIER |
XJ736 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
GM |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4038619 |
| EFFECTIVE DATE/TIME |
-
- 2019-08-14 00:00:00
- STATUS: ACTIVE
-
- 2019-08-14 00:00:00
- STATUS: ACTIVE
|
