ADHESIVE REMOVER SPRAY BIODERM #52200 (31378)    VA PRODUCT (50.68)

Name Value
NAME ADHESIVE REMOVER SPRAY BIODERM #52200
VA GENERIC NAME ADHESIVE REMOVER
DOSAGE FORM LIQUID,TOP
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME ADHESIVE REMOVER LIQUID,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-08-20 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME ADHESIVE REMOVER SPRAY BIODERM #52200
VA PRODUCT IDENTIFIER XK835
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4040765
EFFECTIVE DATE/TIME
  • 2021-08-25 00:00:00
    STATUS:   ACTIVE
  • 2021-08-25 00:00:00
    STATUS:   ACTIVE