FACEPLATE,IRRIGATION ADAPTER C#4019-19 (13505)    VA PRODUCT (50.68)

Name Value
NAME FACEPLATE,IRRIGATION ADAPTER C#4019-19
VA GENERIC NAME FACEPLATE,IRRIGATION ADAPTER
DOSAGE FORM MISCELLANEOUS
NATIONAL FORMULARY NAME FACEPLATE,IRRIGATION ADAPTER 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 FACEPLATE,IRRIGATION ADAPTER C#4019-19
VA PRODUCT IDENTIFIER XX803
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4013870
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE