TAPE,MOUTH STRIP (31858)    VA PRODUCT (50.68)

Name Value
NAME TAPE,MOUTH STRIP
VA GENERIC NAME TAPE
DOSAGE FORM TAPE
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME TAPE TAPE
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2022-04-04 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TAPE,MOUTH STRIP
VA PRODUCT IDENTIFIER XL126
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4041305
EFFECTIVE DATE/TIME
  • 2022-04-04 00:00:00
    STATUS:   ACTIVE