BELT,SUPPORT 5IN X-LARGE NU-HOPE #6423-F (21071)    VA PRODUCT (50.68)

Name Value
NAME BELT,SUPPORT 5IN X-LARGE NU-HOPE #6423-F
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 5IN X-LG NU-HOPE #6423-F
VA PRODUCT IDENTIFIER XT118
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4029173
EFFECTIVE DATE/TIME
  • 2009-10-01 00:00:00
    STATUS:   ACTIVE