CONNECTOR 5-IN-1,NON-STERILE (23155)    VA PRODUCT (50.68)

Name Value
NAME CONNECTOR 5-IN-1,NON-STERILE
VA GENERIC NAME CONNECTOR
DOSAGE FORM MISCELLANEOUS
NATIONAL FORMULARY NAME CONNECTOR 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 CONNECTOR 5-IN-1,NON-STERILE
VA PRODUCT IDENTIFIER XR355
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4031571
EFFECTIVE DATE/TIME
  • 2012-08-03 00:00:00
    STATUS:   ACTIVE