STATLOCK UNIVERSAL PLUS SM VUPD68 (20347)    VA PRODUCT (50.68)

Name Value
NAME STATLOCK UNIVERSAL PLUS SM VUPD68
VA GENERIC NAME STATLOCK UNIVERSAL PLUS
DOSAGE FORM DEVICE
NATIONAL FORMULARY NAME STATLOCK UNIVERSAL PLUS DEVICE
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 STATLOCK UNIVERSAL PLUS SM VUPD68
VA PRODUCT IDENTIFIER XU677
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4028331
EFFECTIVE DATE/TIME
  • 2009-02-06 00:00:00
    STATUS:   ACTIVE