CARTRIDGE,ANIMAS IR 3ML 1000 #100-052-01 (19450)    VA PRODUCT (50.68)

Name Value
NAME CARTRIDGE,ANIMAS IR 3ML 1000 #100-052-01
VA GENERIC NAME CARTRIDGE,ANIMAS
DOSAGE FORM MISCELLANEOUS
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 IR 3ML 1000 #100-052-01
VA PRODUCT IDENTIFIER XU058
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4027325
EFFECTIVE DATE/TIME
  • 2008-04-10 00:00:00
    STATUS:   ACTIVE