BELT,SUPPORT 6IN X-LARGE NU-HOPE #6433-SP (19132)    VA PRODUCT (50.68)

Name Value
NAME BELT,SUPPORT 6IN X-LARGE NU-HOPE #6433-SP
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 6IN X-LG NU-HOPE #6433-SP
VA PRODUCT IDENTIFIER XV834
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4026980
EFFECTIVE DATE/TIME
  • 2008-02-05 00:00:00
    STATUS:   ACTIVE