| NAME |
BARRIER,OSTOMY,NEW IMAGE H#13505 |
| VA GENERIC NAME |
BARRIER,OSTOMY |
| DOSAGE FORM |
BARRIER |
| HAZARDOUS TO DISPOSE |
NO |
| CS FEDERAL SCHEDULE |
Unscheduled |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| NATIONAL FORMULARY NAME |
BARRIER,OSTOMY BARRIER |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
1x Possible Dosage |
| PACKAGE |
Outpatient |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2020-04-01 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
BARRIER,OSTOMY,NEW IMAGE H#13505 |
| VA PRODUCT IDENTIFIER |
XK033 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4039255 |
| EFFECTIVE DATE/TIME |
-
- 2020-04-01 00:00:00
- STATUS: ACTIVE
|
