
| Name | Value |
|---|---|
| NAME | NEBULIZER KIT,PREFILL,1000ML #3D0808 |
| VA GENERIC NAME | NEBULIZER |
| DOSAGE FORM | KIT |
| NATIONAL FORMULARY NAME | NEBULIZER KIT |
| CREATE DEFAULT POSSIBLE DOSAGE | YES |
| CODING SYSTEM |
|
| COPAY TIER |
|
| PGX ELIGIBLE | NO |
| PGX SUPPRESSED | NO |
| VA PRINT NAME | NEBULIZER KIT,PREFILL,1000ML #3D0808 |
| VA PRODUCT IDENTIFIER | XA900 |
| TRANSMIT TO CMOP | NO |
| VA DISPENSE UNIT | EA |
| MASTER ENTRY FOR VUID | YES |
| VUID | 4027639 |
| EFFECTIVE DATE/TIME |
|