| NAME |
TAPE,POROUS 1.5IN X 15YD 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 |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2021-03-18 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
TAPE,POROUS 1.5IN X 15YD ZONAS |
| VA PRODUCT IDENTIFIER |
XK527 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
ROLL |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4040246 |
| EFFECTIVE DATE/TIME |
-
- 2021-03-18 00:00:00
- STATUS: ACTIVE
-
- 2021-03-18 00:00:00
- STATUS: ACTIVE
-
- 2021-03-18 00:00:00
- STATUS: ACTIVE
|
