TAPE,POROUS 3IN X 10YD ZONAS (30812)    VA PRODUCT (50.68)

Name Value
NAME TAPE,POROUS 3IN X 10YD ZONAS
VA GENERIC NAME TAPE
DOSAGE FORM TAPE
HAZARDOUS TO DISPOSE NO
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
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,POROUS 3IN X 10YD ZONAS
VA PRODUCT IDENTIFIER XK451
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ROLL
MASTER ENTRY FOR VUID YES
VUID 4040144
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