TAPE STRIP,REGULAR ADHERING NU-HOPE#2304 (30808)    VA PRODUCT (50.68)

Name Value
NAME TAPE STRIP,REGULAR ADHERING NU-HOPE#2304
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:   2021-03-05 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TAPE STRIP,REGULAR ADHERING NU-HOPE#2304
VA PRODUCT IDENTIFIER XK450
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040143
EFFECTIVE DATE/TIME
  • 2021-03-08 00:00:00
    STATUS:   ACTIVE
  • 2021-03-08 00:00:00
    STATUS:   ACTIVE
  • 2021-03-08 00:00:00
    STATUS:   ACTIVE