CLAMP,BAG C#9500 (20351)    VA PRODUCT (50.68)

Name Value
NAME CLAMP,BAG C#9500
VA GENERIC NAME CLAMP,BAG
DOSAGE FORM CLAMP
NATIONAL FORMULARY NAME CLAMP,BAG CLAMP
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 CLAMP,BAG C#9500
VA PRODUCT IDENTIFIER XU681
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4028335
EFFECTIVE DATE/TIME
  • 2009-02-06 00:00:00
    STATUS:   ACTIVE