INSULIN SYRINGE 0.5ML 31G 6MM (25793)    VA PRODUCT (50.68)

Name Value
NAME INSULIN SYRINGE 0.5ML 31G 6MM
VA GENERIC NAME NEEDLE/SYRINGE
DOSAGE FORM SYRINGE/NDL
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
NATIONAL FORMULARY NAME NEEDLE/SYRINGE SYRINGE/NDL
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 INSULIN SYRINGE 0.5ML 31G 6MM
VA PRODUCT IDENTIFIER XI079
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4034546
EFFECTIVE DATE/TIME
  • 2015-06-26 00:00:00
    STATUS:   ACTIVE