STOPCOCK,3-GANG,3-WAY SMITHS #MX4311L (26644)    VA PRODUCT (50.68)

Name Value
NAME STOPCOCK,3-GANG,3-WAY SMITHS #MX4311L
VA GENERIC NAME VALVE
DOSAGE FORM DEVICE
NATIONAL FORMULARY NAME VALVE DEVICE
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 STOPCOCK,3-GANG,3-WAY SMITHS #MX4311L
VA PRODUCT IDENTIFIER XI430
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4035480
EFFECTIVE DATE/TIME
  • 2016-03-11 00:00:00
    STATUS:   ACTIVE