TAPE,WATERPROOF 1IN X 10YD (30247)    VA PRODUCT (50.68)

Name Value
NAME TAPE,WATERPROOF 1IN X 10YD
VA GENERIC NAME TAPE
DOSAGE FORM TAPE
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME TAPE TAPE
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2020-07-09 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TAPE,WATERPROOF 1IN X 10YD
VA PRODUCT IDENTIFIER XK142
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ROLL
MASTER ENTRY FOR VUID YES
VUID 4039516
EFFECTIVE DATE/TIME
  • 2020-07-13 00:00:00
    STATUS:   ACTIVE