SKIN BARRIER WIPE ATOS SKIN TAC (32514)    VA PRODUCT (50.68)

Name Value
NAME SKIN BARRIER WIPE ATOS SKIN TAC
VA GENERIC NAME BARRIER
DOSAGE FORM PAD
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME BARRIER PAD
CREATE DEFAULT POSSIBLE DOSAGE YES
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2023-02-16 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME SKIN BARRIER WIPE ATOS SKIN TAC
VA PRODUCT IDENTIFIER XL467
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4042034
EFFECTIVE DATE/TIME
  • 2023-02-16 00:00:00
    STATUS:   ACTIVE