GASKET,SEAL-TITE 1-1/4IN,SN#1137-20 (13767)    VA PRODUCT (50.68)

Name Value
NAME GASKET,SEAL-TITE 1-1/4IN,SN#1137-20
VA GENERIC NAME DISC
DOSAGE FORM MISCELLANEOUS
NATIONAL FORMULARY NAME DISC 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 GASKET,SEAL-TITE 1-1/4IN,SN#1137-20
VA PRODUCT IDENTIFIER XX870
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4014132
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE