STATLOCK PICC/CV,ANCHORING DEVICE KIT PICK0105 (22468)    VA PRODUCT (50.68)

Name Value
NAME STATLOCK PICC/CV,ANCHORING DEVICE KIT PICK0105
VA GENERIC NAME STATLOCK PICC PLUS
DOSAGE FORM DEVICE
NATIONAL FORMULARY NAME STATLOCK PICC PLUS 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/CV ANCHORING KIT PICK0105
VA PRODUCT IDENTIFIER XR036
TRANSMIT TO CMOP NO
VA DISPENSE UNIT KIT
MASTER ENTRY FOR VUID YES
VUID 4030761
EFFECTIVE DATE/TIME
  • 2011-07-12 00:00:00
    STATUS:   ACTIVE