| NAME |
BELT,SUPPORT 6IN XX-LARGE NU-HOPE #6434-P-SP |
| VA GENERIC NAME |
BELT |
| DOSAGE FORM |
BELT |
| CS FEDERAL SCHEDULE |
Unscheduled |
| INACTIVATION DATE |
2021-07-15 00:00:00 |
| NATIONAL FORMULARY NAME |
BELT BELT |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| 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,SUPP 6IN XX-LG NU-HOPE #6434-P-SP |
| VA PRODUCT IDENTIFIER |
XT650 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4030017 |
| EFFECTIVE DATE/TIME |
-
- 2010-08-13 00:00:00
- STATUS: ACTIVE
-
- 2021-07-15 00:00:00
- STATUS: INACTIVE
-
- 2021-07-15 00:00:00
- STATUS: INACTIVE
-
- 2021-07-15 00:00:00
- STATUS: INACTIVE
|