STOMA CAP,AMPATCH E 1-1/8 IN CENTER (31758)    VA PRODUCT (50.68)

Name Value
NAME STOMA CAP,AMPATCH E 1-1/8 IN CENTER
VA GENERIC NAME STOMA CAP
DOSAGE FORM STOMA CAP
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME STOMA CAP STOMA CAP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2022-03-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME STOMA CAP,AMPATCH E 1-1/8 IN CENTER
VA PRODUCT IDENTIFIER XL075
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4041192
EFFECTIVE DATE/TIME
  • 2022-03-01 00:00:00
    STATUS:   ACTIVE