WAFER,GENAIREX #7805214 (31895)    VA PRODUCT (50.68)

Name Value
NAME WAFER,GENAIREX #7805214
VA GENERIC NAME WAFER
DOSAGE FORM WAFER
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME WAFER WAFER
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2022-04-14 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME WAFER,GENAIREX #7805214
VA PRODUCT IDENTIFIER XL149
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4041340
EFFECTIVE DATE/TIME
  • 2022-04-14 00:00:00
    STATUS:   ACTIVE