BAG,LEG CONVEEN SECURITY C#21027 (25349)    VA PRODUCT (50.68)

Name Value
NAME BAG,LEG CONVEEN SECURITY C#21027
VA GENERIC NAME BAG,LEG
DOSAGE FORM BAG
NATIONAL FORMULARY NAME BAG,LEG BAG
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 BAG,LEG CONVEEN SECURITY C#21027
VA PRODUCT IDENTIFIER XH861
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4034059
EFFECTIVE DATE/TIME
  • 2015-01-15 00:00:00
    STATUS:   ACTIVE