BELT,RIB UNIVERSAL 8IN ZIMMER #2721-08 (14083)    VA PRODUCT (50.68)

Name Value
NAME BELT,RIB UNIVERSAL 8IN ZIMMER #2721-08
VA GENERIC NAME BELT,RIB
DOSAGE FORM BELT
NATIONAL FORMULARY NAME BELT,RIB BELT
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 BELT,RIB UNIVERSAL 8IN ZIMMER #2721-08
VA PRODUCT IDENTIFIER XY057
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4014447
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE