ADAPTER,FEEDING,24FR ENDOVIVE #M00580231 (24567)    VA PRODUCT (50.68)

Name Value
NAME ADAPTER,FEEDING,24FR ENDOVIVE #M00580231
VA GENERIC NAME ADAPTER
DOSAGE FORM DEVICE
NATIONAL FORMULARY NAME ADAPTER 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 ADAPTER,FEEDING,24FR ENDOVIVE #M00580231
VA PRODUCT IDENTIFIER XH548
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4033163
EFFECTIVE DATE/TIME
  • 2014-03-14 00:00:00
    STATUS:   ACTIVE