ADHESIVE,SILICONE LIQUID,TOP (30123)    VA PRODUCT (50.68)

Name Value
NAME ADHESIVE,SILICONE LIQUID,TOP
VA GENERIC NAME ADHESIVE,MEDICAL
DOSAGE FORM LIQUID,TOP
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME ADHESIVE,MEDICAL LIQUID,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2020-05-14 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME ADHESIVE,SILICONE TOP LIQ
VA PRODUCT IDENTIFIER XK078
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4039369
EFFECTIVE DATE/TIME
  • 2020-05-14 00:00:00
    STATUS:   ACTIVE
  • 2020-05-14 00:00:00
    STATUS:   ACTIVE