| Name | Value |
|---|---|
| NAME | BELT,ELASTIC MARLEN |
| VA GENERIC NAME | BELT |
| DOSAGE FORM | BELT |
| CS FEDERAL SCHEDULE | Unscheduled |
| DSS NUMBER | 1 |
| NATIONAL FORMULARY NAME | BELT BELT |
| CREATE DEFAULT POSSIBLE DOSAGE | YES |
| CODING SYSTEM |
|
| COPAY TIER |
|
| PGX ELIGIBLE | NO |
| PGX SUPPRESSED | NO |
| VA PRINT NAME | BELT,ELASTIC MARLEN |
| VA PRODUCT IDENTIFIER | XB007 |
| TRANSMIT TO CMOP | NO |
| VA DISPENSE UNIT | EA |
| MASTER ENTRY FOR VUID | YES |
| VUID | 4012434 |
| EFFECTIVE DATE/TIME |
|