BELT,SUPPORT 6IN LARGE NU-HOPE #6332-DC (21158)    VA PRODUCT (50.68)

Name Value
NAME BELT,SUPPORT 6IN LARGE NU-HOPE #6332-DC
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 6IN LARGE NU-HOPE #6332-DC
VA PRODUCT IDENTIFIER XT197
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4029281
EFFECTIVE DATE/TIME
  • 2009-11-09 00:00:00
    STATUS:   ACTIVE