BARRIER,ASSURA COLOPLAST #12847 (30826)    VA PRODUCT (50.68)

Name Value
NAME BARRIER,ASSURA COLOPLAST #12847
VA GENERIC NAME BARRIER,OSTOMY
DOSAGE FORM BARRIER
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME BARRIER,OSTOMY BARRIER
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-03-10 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME BARRIER,ASSURA COLOPLAST #12847
VA PRODUCT IDENTIFIER XK465
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040158
EFFECTIVE DATE/TIME
  • 2021-03-11 00:00:00
    STATUS:   ACTIVE
  • 2021-03-11 00:00:00
    STATUS:   ACTIVE
  • 2021-03-11 00:00:00
    STATUS:   ACTIVE