LOOP OSTOMY ROD C#0223-55 (17413)    VA PRODUCT (50.68)

Name Value
NAME LOOP OSTOMY ROD C#0223-55
VA GENERIC NAME LOOP OSTOMY ROD
DOSAGE FORM MISCELLANEOUS
NATIONAL FORMULARY NAME LOOP OSTOMY ROD 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 LOOP OSTOMY ROD C#0223-55
VA PRODUCT IDENTIFIER XV035
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4024845
EFFECTIVE DATE/TIME
  • 2006-01-24 00:00:00
    STATUS:   ACTIVE