CAP,NEEDLELESS IV BRAUN B2000-654493 (15108)    VA PRODUCT (50.68)

Name Value
NAME CAP,NEEDLELESS IV BRAUN B2000-654493
VA GENERIC NAME CAP
DOSAGE FORM CAP/INJ
NATIONAL FORMULARY NAME CAP,NEEDLELESS,CAP/INJ
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 CAP,NEEDLELESS IV BRAUN B2000-654493
VA PRODUCT IDENTIFIER XZ161
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4015472
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE