BELT,ILEOSTOMY,ADJUSTABLE NU-HOPE #EV7030-15XX-BLT (20056)    VA PRODUCT (50.68)

Name Value
NAME BELT,ILEOSTOMY,ADJUSTABLE NU-HOPE #EV7030-15XX-BLT
VA GENERIC NAME BELT
DOSAGE FORM BELT
NATIONAL FORMULARY NAME BELT 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,ILEOSTOMY NU-HOPE #EV7030-15XX-BLT
VA PRODUCT IDENTIFIER XU486
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4028007
EFFECTIVE DATE/TIME
  • 2008-11-06 00:00:00
    STATUS:   ACTIVE