STATLOCK PICC/CV,ANCHORING DEVICE KIT PICK0106 (22469)    VA PRODUCT (50.68)

Name Value
NAME STATLOCK PICC/CV,ANCHORING DEVICE KIT PICK0106
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 PICK0106
VA PRODUCT IDENTIFIER XR037
TRANSMIT TO CMOP YES
VA DISPENSE UNIT KIT
MASTER ENTRY FOR VUID YES
VUID 4030762
EFFECTIVE DATE/TIME
  • 2011-07-12 00:00:00
    STATUS:   ACTIVE