HEEL,ELBOW PROTECTOR #MDT823298/829298 (20034)    VA PRODUCT (50.68)

Name Value
NAME HEEL,ELBOW PROTECTOR #MDT823298/829298
VA GENERIC NAME HEEL,ELBOW PROTECTOR
DOSAGE FORM MISCELLANEOUS
NATIONAL FORMULARY NAME HEEL,ELBOW PROTECTOR 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 HEEL,ELBOW PROTECTOR #MDT823298/829298
VA PRODUCT IDENTIFIER XU469
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4027985
EFFECTIVE DATE/TIME
  • 2008-11-06 00:00:00
    STATUS:   ACTIVE