ORAL,SWAB DYNAREX W/DENTIFRICE (30473)    VA PRODUCT (50.68)

Name Value
NAME ORAL,SWAB DYNAREX W/DENTIFRICE
VA GENERIC NAME ORAL,SWAB
DOSAGE FORM MISCELLANEOUS
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME ORAL,SWAB MISCELLANEOUS
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2020-10-22 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME ORAL,SWAB DYNAREX W/DENTIFRICE
VA PRODUCT IDENTIFIER XK253
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4039762
EFFECTIVE DATE/TIME
  • 2020-10-22 00:00:00
    STATUS:   ACTIVE
  • 2020-10-22 00:00:00
    STATUS:   ACTIVE
  • 2020-10-22 00:00:00
    STATUS:   ACTIVE