BELT,SUPPORT 7IN X-LARGE NU-HOPE #6443 (16069)    VA PRODUCT (50.68)

Name Value
NAME BELT,SUPPORT 7IN X-LARGE NU-HOPE #6443
VA GENERIC NAME BELT
DOSAGE FORM BELT
NATIONAL FORMULARY NAME BELT 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,SUPPORT 7IN X-LARGE NU-HOPE #6443
VA PRODUCT IDENTIFIER XZ584
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4016432
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE