HOSE ANTI-EMBOLISM THIGH LEN X-LRG-LONG (14074)    VA PRODUCT (50.68)

Name Value
NAME HOSE ANTI-EMBOLISM THIGH LEN X-LRG-LONG
VA GENERIC NAME HOSE
DOSAGE FORM STOCKING
NATIONAL FORMULARY NAME HOSE STOCKING
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 HOSE ANTI-EMBOLISM THIGH LEN X-LRG-LONG
VA PRODUCT IDENTIFIER XY048
TRANSMIT TO CMOP YES
VA DISPENSE UNIT PR
MASTER ENTRY FOR VUID YES
VUID 4014438
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE