COLLY-SEEL DISC 3/4IN MASON #313 (12067)    VA PRODUCT (50.68)

Name Value
NAME COLLY-SEEL DISC 3/4IN MASON #313
VA GENERIC NAME DISC
DOSAGE FORM MISCELLANEOUS
CS FEDERAL SCHEDULE Unscheduled
DSS NUMBER 10
NATIONAL FORMULARY NAME DISC MISCELLANEOUS
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME COLLY-SEEL DISC 3/4IN MASON #313
VA PRODUCT IDENTIFIER XC069
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4012433
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE