BARRIER,BRAVA COLOPLAST #12036 (31225)    VA PRODUCT (50.68)

Name Value
NAME BARRIER,BRAVA COLOPLAST #12036
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:   2021-06-22 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME BARRIER,BRAVA COLOPLAST #12036
VA PRODUCT IDENTIFIER XK728
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040588
EFFECTIVE DATE/TIME
  • 2021-06-23 00:00:00
    STATUS:   ACTIVE
  • 2021-06-23 00:00:00
    STATUS:   ACTIVE
  • 2021-06-23 00:00:00
    STATUS:   ACTIVE
  • 2021-06-23 00:00:00
    STATUS:   ACTIVE