BELT,OSTOMY LARGE PERMA TYPE #C116AL00 (19763)    VA PRODUCT (50.68)

Name Value
NAME BELT,OSTOMY LARGE PERMA TYPE #C116AL00
VA GENERIC NAME BELT,OSTOMY
DOSAGE FORM BELT
NATIONAL FORMULARY NAME BELT,OSTOMY 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,OSTOMY LARGE PERMA TYPE #C116AL00
VA PRODUCT IDENTIFIER XU278
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4027677
EFFECTIVE DATE/TIME
  • 2008-07-17 00:00:00
    STATUS:   ACTIVE