BELT,SUPPORT MEDIUM BETTER LIFE (20194)    VA PRODUCT (50.68)

Name Value
NAME BELT,SUPPORT MEDIUM BETTER LIFE
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,SUPPORT MEDIUM BETTER LIFE
VA PRODUCT IDENTIFIER XU578
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4028157
EFFECTIVE DATE/TIME
  • 2009-01-09 00:00:00
    STATUS:   ACTIVE