HAIR NET,BOUFFANT CAP,21 INCH (26109)    VA PRODUCT (50.68)

Name Value
NAME HAIR NET,BOUFFANT CAP,21 INCH
VA GENERIC NAME SUPPLY
DOSAGE FORM MISCELLANEOUS
NATIONAL FORMULARY NAME SUPPLY 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 HAIR NET,BOUFFANT CAP 21 INCH
VA PRODUCT IDENTIFIER XI213
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4034899
EFFECTIVE DATE/TIME
  • 2015-10-20 00:00:00
    STATUS:   ACTIVE