CAP,TUBING 3/4IN NU-HOPE #9062 (22832)    VA PRODUCT (50.68)

Name Value
NAME CAP,TUBING 3/4IN NU-HOPE #9062
VA GENERIC NAME CAP
DOSAGE FORM MISCELLANEOUS
NATIONAL FORMULARY NAME CAP 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 CAP,TUBING 3/4IN NU-HOPE #9062
VA PRODUCT IDENTIFIER XR189
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4031204
EFFECTIVE DATE/TIME
  • 2012-01-06 00:00:00
    STATUS:   ACTIVE