FILTER,SUCTION DEVILBISS #7305D635 (26484)    VA PRODUCT (50.68)

Name Value
NAME FILTER,SUCTION DEVILBISS #7305D635
VA GENERIC NAME FILTER
DOSAGE FORM MISCELLANEOUS
NATIONAL FORMULARY NAME FILTER 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 FILTER,SUCTION DEVILBISS #7305D635
VA PRODUCT IDENTIFIER XI351
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4035310
EFFECTIVE DATE/TIME
  • 2016-01-22 00:00:00
    STATUS:   ACTIVE