NEBULIZER,LARGE VOLUME #1770 (25606)    VA PRODUCT (50.68)

Name Value
NAME NEBULIZER,LARGE VOLUME #1770
VA GENERIC NAME NEBULIZER
DOSAGE FORM MISCELLANEOUS
NATIONAL FORMULARY NAME NEBULIZER 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 NEBULIZER,LARGE VOLUME #1770
VA PRODUCT IDENTIFIER XH990
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4034340
EFFECTIVE DATE/TIME
  • 2015-04-07 00:00:00
    STATUS:   ACTIVE