STATLOCK PICC PLUS,PIC0222 ANCHORING DEVICE (19331)    VA PRODUCT (50.68)

Name Value
NAME STATLOCK PICC PLUS,PIC0222 ANCHORING DEVICE
VA GENERIC NAME STATLOCK PICC PLUS
DOSAGE FORM DEVICE
NATIONAL FORMULARY NAME STATLOCK PICC PLUS DEVICE
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 STATLOCK PICC PLUS PIC0222 ANCHOR DEVICE
VA PRODUCT IDENTIFIER XV968
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4027191
EFFECTIVE DATE/TIME
  • 2008-03-07 00:00:00
    STATUS:   ACTIVE