GASKET,SEAL-TITE 3.75IN,#TSN4302 (18507)    VA PRODUCT (50.68)

Name Value
NAME GASKET,SEAL-TITE 3.75IN,#TSN4302
VA GENERIC NAME DISC
DOSAGE FORM MISCELLANEOUS
NATIONAL FORMULARY NAME DISC 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 GASKET,SEAL-TITE 3.75IN,#TSN4302
VA PRODUCT IDENTIFIER XV366
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4026307
EFFECTIVE DATE/TIME
  • 2007-08-30 00:00:00
    STATUS:   ACTIVE