BELT,SUPPORT 4IN X-LG NU-HOPE #2668-SP (12083)    VA PRODUCT (50.68)

Name Value
NAME BELT,SUPPORT 4IN X-LG NU-HOPE #2668-SP
VA GENERIC NAME BELT
DOSAGE FORM BELT
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2020-12-15 00:00:00
DSS NUMBER 16
NATIONAL FORMULARY NAME BELT BELT
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 BELT,SUPPORT 4IN X-LG NU-HOPE #2668-SP
VA PRODUCT IDENTIFIER XB033
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4012449
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2020-12-15 00:00:00
    STATUS:   INACTIVE
  • 2020-12-15 00:00:00
    STATUS:   INACTIVE
  • 2020-12-15 00:00:00
    STATUS:   INACTIVE