RING,SURE SEAL SMALL ROUND #ALRS0110 (22776)    VA PRODUCT (50.68)

Name Value
NAME RING,SURE SEAL SMALL ROUND #ALRS0110
VA GENERIC NAME RING
DOSAGE FORM MISCELLANEOUS
NATIONAL FORMULARY NAME RING MISCELLANEOUS
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 RING,SURE SEAL SMALL ROUND #ALRS0110
VA PRODUCT IDENTIFIER XR170
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4031134
EFFECTIVE DATE/TIME
  • 2011-12-09 00:00:00
    STATUS:   ACTIVE