BELT,SUPPORT 6IN X-LG NU-HOPE #6713-C (21917)    VA PRODUCT (50.68)

Name Value
NAME BELT,SUPPORT 6IN X-LG NU-HOPE #6713-C
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
  • 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 X-LG NU-HOPE #6713-C
VA PRODUCT IDENTIFIER XT689
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4030116
EFFECTIVE DATE/TIME
  • 2010-09-08 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