SPECIMEN CONTAINER U-BAG H#7513 (14880)    VA PRODUCT (50.68)

Name Value
NAME SPECIMEN CONTAINER U-BAG H#7513
VA GENERIC NAME SPECIMEN CONTAINER
DOSAGE FORM MISCELLANEOUS
NATIONAL FORMULARY NAME SPECIMEN CONTAINER 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 SPECIMEN CONTAINER U-BAG H#7513
VA PRODUCT IDENTIFIER XZ068
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4015244
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE