STATLOCK PICC,VCDC ANCHORING DEVICE (20907)    VA PRODUCT (50.68)

Name Value
NAME STATLOCK PICC,VCDC ANCHORING DEVICE
VA GENERIC NAME STATLOCK PICC
DOSAGE FORM DEVICE
NATIONAL FORMULARY NAME STATLOCK PICC 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 PICC,VCDC ANCHOR DEVICE
VA PRODUCT IDENTIFIER XU983
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4028987
EFFECTIVE DATE/TIME
  • 2009-09-09 00:00:00
    STATUS:   ACTIVE