ELLIPSE COMPACT SPACER (12566)    VA PRODUCT (50.68)

Name Value
NAME ELLIPSE COMPACT SPACER
VA GENERIC NAME ELLIPSE
DOSAGE FORM CHAMBER
CS FEDERAL SCHEDULE Unscheduled
DSS NUMBER 1
NATIONAL FORMULARY NAME ELLIPSE CHAMBER
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 ELLIPSE COMPACT SPACER
VA PRODUCT IDENTIFIER XX210
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4012931
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE