STOMA CUP (25054)    VA PRODUCT (50.68)

Name Value
NAME STOMA CUP
VA GENERIC NAME STOMA CUP
DOSAGE FORM MISCELLANEOUS
NATIONAL FORMULARY NAME STOMA CUP 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 STOMA CUP
VA PRODUCT IDENTIFIER XH749
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4033716
EFFECTIVE DATE/TIME
  • 2014-09-26 00:00:00
    STATUS:   ACTIVE