BRACELET,MEDICAL ALERT HEMOPHILIA (19259)    VA PRODUCT (50.68)

Name Value
NAME BRACELET,MEDICAL ALERT HEMOPHILIA
VA GENERIC NAME MEDICAL ALERT
DOSAGE FORM MISCELLANEOUS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2020-12-15 00:00:00
NATIONAL FORMULARY NAME MEDICAL ALERT 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 BRACELET,MEDICAL ALERT HEMOPHILIA
VA PRODUCT IDENTIFIER XV925
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4027107
EFFECTIVE DATE/TIME
  • 2008-02-05 00:00:00
    STATUS:   ACTIVE
  • 2020-12-15 00:00:00
    STATUS:   INACTIVE
  • 2020-12-15 00:00:00
    STATUS:   INACTIVE
  • 2020-12-15 00:00:00
    STATUS:   INACTIVE