FLEXI-TRAK ANCHORING DEVICE C#0374-49 (12316)    VA PRODUCT (50.68)

Name Value
NAME FLEXI-TRAK ANCHORING DEVICE C#0374-49
VA GENERIC NAME SUPPLY
DOSAGE FORM MISCELLANEOUS
CS FEDERAL SCHEDULE Unscheduled
DSS NUMBER 61
NATIONAL FORMULARY NAME SUPPLY 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 FLEXI-TRAK ANCHORING DEVICE C#0374-49
VA PRODUCT IDENTIFIER XX316
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4012682
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE