FLANGE CAP,SUR-FIT C#4019-08 (13489)    VA PRODUCT (50.68)

Name Value
NAME FLANGE CAP,SUR-FIT C#4019-08
VA GENERIC NAME FLANGE CAP
DOSAGE FORM MISCELLANEOUS
NATIONAL FORMULARY NAME FLANGE CAP 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 FLANGE CAP,SUR-FIT C#4019-08
VA PRODUCT IDENTIFIER XX787
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4013854
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE