CARTRIDGE,ANIMAS INSULIN (17429)    VA PRODUCT (50.68)

Name Value
NAME CARTRIDGE,ANIMAS INSULIN
VA GENERIC NAME CARTRIDGE,ANIMAS
DOSAGE FORM MISCELLANEOUS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
NATIONAL FORMULARY NAME CARTRIDGE,ANIMAS 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 CARTRIDGE,ANIMAS INSULIN
VA PRODUCT IDENTIFIER XV041
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4024861
EFFECTIVE DATE/TIME
  • 2006-01-24 00:00:00
    STATUS:   ACTIVE