GASKET,SEAL-TITE 7/8IN,U#4302-07 (20066)    VA PRODUCT (50.68)

Name Value
NAME GASKET,SEAL-TITE 7/8IN,U#4302-07
VA GENERIC NAME DISC
DOSAGE FORM MISCELLANEOUS
NATIONAL FORMULARY NAME DISC 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 GASKET,SEAL-TITE 7/8IN,U#4302-07
VA PRODUCT IDENTIFIER XU495
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4028017
EFFECTIVE DATE/TIME
  • 2008-11-06 00:00:00
    STATUS:   ACTIVE