SALIVA EJECTOR,WHITE OPAQUE HENRY SCHEIN #1005205 (23200)    VA PRODUCT (50.68)

Name Value
NAME SALIVA EJECTOR,WHITE OPAQUE HENRY SCHEIN #1005205
VA GENERIC NAME SALIVA EJECTOR
DOSAGE FORM DEVICE
NATIONAL FORMULARY NAME SALIVA EJECTOR 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 SALIVA EJECTOR,WHITE OPAQUE H-S#1005205
VA PRODUCT IDENTIFIER XR377
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4031625
EFFECTIVE DATE/TIME
  • 2012-09-10 00:00:00
    STATUS:   ACTIVE